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韩国骨折联络服务的建立:现状与未来走向?

Establishment of Fracture Liaison Service in Korea: Where Is It Stand and Where Is It Going?

作者信息

Cha Yong Han, Ha Yong-Chan, Lim Jae-Young

机构信息

Department of Orthopaedic Surgery, Eulji University Hospital, Daejeon, Korea.

Department of Orthopaedic Surgery, Chung-Ang University College of Medicine, Seoul, Korea.

出版信息

J Bone Metab. 2019 Nov;26(4):207-211. doi: 10.11005/jbm.2019.26.4.207. Epub 2019 Nov 30.

Abstract

The elderly population growth rate is extremely high in Korean society, and life expectancy is close to 85 years old for women and 80 for men as of people born in 2015. The future hip fracture prediction model of Korea shows that the elderly hip fracture rate will increase by 1.4 times by 2025, which will impose a serious socioeconomic burden on Korean society and become a key issue of public health management. The fracture liaison service (FLS) is defined adequate treatment and services for patients over 50 years old with fragility fractures, enabling systematic identification and decreasing the risk of subsequent osteoporotic fractures. In Korean society, the introduction of FLS, which is verified not only in the socioeconomic aspects but also in the treatment of patients, is thought to be essential. However, the challenges that need to be addressed in order to implement FLS include the lack of awareness regarding the necessity of this system, the lack of healthcare systems, and inadequate policies. In the future, further studies on the FLS and its clinical and socioeconomic effects for the Korean medical system will be necessary.

摘要

韩国社会老年人口增长率极高,截至2015年出生的人群,女性预期寿命接近85岁,男性为80岁。韩国未来髋部骨折预测模型显示,到2025年老年髋部骨折率将增长1.4倍,这将给韩国社会带来严重的社会经济负担,并成为公共卫生管理的关键问题。骨折联络服务(FLS)被定义为为50岁以上脆性骨折患者提供适当的治疗和服务,能够系统地识别并降低后续骨质疏松性骨折的风险。在韩国社会,引入不仅在社会经济方面而且在患者治疗方面都得到验证的FLS被认为至关重要。然而,实施FLS需要解决的挑战包括对该系统必要性的认识不足、医疗保健系统的缺乏以及政策不完善。未来,有必要针对韩国医疗系统对FLS及其临床和社会经济影响进行进一步研究。

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