University of Toronto, Toronto, Ontario, Canada.
Qual Health Res. 2012 Dec;22(12):1647-58. doi: 10.1177/1049732312457467. Epub 2012 Aug 24.
Coordinator-based osteoporosis (OP) screening programs for fragility-fracture patients in orthopedic environments improve rates of OP testing and care, but there are still gaps in care. The purpose of this study was to understand the process by which patients decided whether to proceed with OP testing or care within these programs. Twenty-four fragility-fracture patients in the OP screening program at a large, urban, university hospital in Canada participated in one of five focus groups. Focus group transcripts were sorted and coded. Links between themes were developed to generate a description of the process leading to successful initiation of OP care after a fragility fracture. To initiate OP testing and care, patients had to both comprehend the link between their fragility fracture and OP, and make an action-oriented appraisal of what action to take. Several modifiable facilitators and barriers influenced the process between screening and undergoing OP testing and initiating treatment.
基于协调员的骨质疏松症（OP）筛查计划可提高骨科环境中脆性骨折患者的 OP 检测率和护理率，但护理仍存在差距。本研究的目的是了解患者在这些计划中决定是否进行 OP 检测或护理的过程。加拿大一家大型城市大学医院的 OP 筛查计划中的 24 名脆性骨折患者参加了五个焦点小组中的一个。对焦点小组的记录进行了分类和编码。发展主题之间的联系，以描述导致脆性骨折后成功开始 OP 护理的过程。要进行 OP 检测和护理，患者必须理解他们的脆性骨折和 OP 之间的联系，并对采取什么行动进行以行动为导向的评估。几个可修改的促进因素和障碍影响了筛查和接受 OP 检测以及开始治疗之间的过程。
