Department of Orthopedics, Kaiser Permanente, 9353 E Imperial Hwy, Downey, CA 90242, USA.
Osteoporos Int. 2011 Aug;22 Suppl 3:457-60. doi: 10.1007/s00198-011-1712-0. Epub 2011 Aug 17.
The Kaiser Permanente Healthy Bones Program has used a systematic approach to address the osteoporosis/fracture care gaps. The article discusses the ten-step processes that utilize information technology and care managers to identify, risk stratify, treat, and then track our patients with care gaps. This program has led to 40+% reduction in the expected number of hip fractures in 2009 that we attribute to the increase in DXA screening followed by appropriate osteoporosis treatment.
凯萨永久健康骨骼计划采用了系统的方法来解决骨质疏松/骨折护理差距的问题。本文讨论了利用信息技术和护理经理来识别、风险分层、治疗以及跟踪我们有护理差距的患者的十个步骤流程。该计划导致 2009 年髋部骨折的预期数量减少了 40%以上，我们将其归因于 DXA 筛查的增加以及随后的适当骨质疏松治疗。
