Synthesis Medical NZ Limited, 3 Harris Street, Pukekohe, 2120, New Zealand,
Curr Osteoporos Rep. 2013 Dec;11(4):377-84. doi: 10.1007/s11914-013-0166-z.
Fracture Liaison Services (FLS) have been demonstrated to be a clinically and cost-effective means of providing secondary preventive care for patients presenting with new fragility fractures. This review summarizes the emergence and widespread adoption of the FLS model in the United Kingdom. Large scale national audits have clearly illustrated the need for FLS by revealing the care gap experienced by the majority of patients who suffer fragility fractures. Since 2003, FLS has featured increasingly more prominently in relevant national professional guidance. During the last 5 years that professional consensus has led to FLS being embedded in government policy on fracture prevention. Quality incentives have been created to encourage hospitals and primary care providers to pro-actively deliver best practice. The strategic approaches taken and lessons learned in the UK may have relevance to quality improvement efforts in other jurisdictions.
骨折联络服务（FLS）已被证明是为新出现脆性骨折的患者提供二级预防护理的一种临床和具有成本效益的手段。本综述总结了 FLS 模式在英国的出现和广泛采用。大规模的国家审计清楚地说明了 FLS 的必要性，因为它揭示了大多数脆性骨折患者所经历的护理差距。自 2003 年以来，FLS 在相关的国家专业指南中越来越突出。在过去的 5 年里，专业共识使得 FLS 被纳入政府预防骨折的政策中。质量激励措施的创建鼓励医院和初级保健提供者积极提供最佳实践。英国采取的战略方法和吸取的经验教训可能与其他司法管辖区的质量改进工作有关。
