Literature DB >> 12729242

How are family physicians managing osteoporosis? Qualitative study of their experiences and educational needs.

Susan B Jaglal1, June Carroll, Gillian Hawker, Warren J McIsaac, Liisa Jaakkimainen, Suzanne M Cadarette, Cathy Cameron, Dave Davis.   

Abstract

OBJECTIVE: To explore family physicians' experiences and perceptions of osteoporosis and to identify their educational needs in this area.
DESIGN: Qualitative study using focus groups.
SETTING: Four Ontario sites: one each in Thunder Bay and Timmins, and two in Toronto, chosen to represent a range of practice sizes, populations, locations, and use of bone densitometry. PARTICIPANTS: Thirty-two FPs participated in four focus groups. Physicians were identified by investigators or local contacts to provide maximum variation sampling.
METHOD: Focus groups using a semistructured interview guide were audiotaped and transcribed. The constant comparative method of data analysis was used to identify key words and concepts until saturation of themes was reached. MAIN
FINDINGS: Family physicians order bone densitometry and try to manage osteoporosis appropriately, but lack a rationale for testing and are confused about management. Participants' main concern was clinical management, followed by disease prevention and their educational needs.
CONCLUSION: Family physicians are confused about how to manage osteoporosis. To reduce the burden of illness due to osteoporosis, educational interventions should be tailored to family physicians' needs.

Entities:  

Mesh:

Year:  2003        PMID: 12729242      PMCID: PMC2214200     

Source DB:  PubMed          Journal:  Can Fam Physician        ISSN: 0008-350X            Impact factor:   3.275


  23 in total

1.  Opinions and experiences in general practice on osteoporosis prevention, diagnosis and management.

Authors:  J C Taylor; B Sterkel; M Utley; M Shipley; S Newman; M Horton; H Fitz-Clarence
Journal:  Osteoporos Int       Date:  2001       Impact factor: 4.507

2.  Influence of bone densitometry results on the treatment of osteoporosis.

Authors:  N S Fitt; S L Mitchell; A Cranney; K Gulenchyn; M Huang; P Tugwell
Journal:  CMAJ       Date:  2001-03-20       Impact factor: 8.262

3.  Bone mineral densitometry substantially influences health-related behaviors of postmenopausal women.

Authors:  C D Marci; W B Anderson; M B Viechnicki; S L Greenspan
Journal:  Calcif Tissue Int       Date:  2000-02       Impact factor: 4.333

4.  Intensive and prolonged health promotion strategy may increase awareness of osteoporosis among postmenopausal women.

Authors:  V Tellier; J De Maeseneer; L De Prins; W B Sedrine; C Gosset; J Y Reginster
Journal:  Osteoporos Int       Date:  2001       Impact factor: 4.507

5.  Patterns of medication use before and after bone densitometry: factors associated with appropriate treatment.

Authors:  D H Solomon; E Levin; S M Helfgott
Journal:  J Rheumatol       Date:  2000-06       Impact factor: 4.666

6.  Practice variation in the diagnosis and treatment of osteoporosis: a case for more effective physician education in primary care.

Authors:  H Saadi; D Litaker; W Mills; C Kippes; B Richmond; A Licata
Journal:  J Womens Health Gend Based Med       Date:  1999 Jul-Aug

7.  An audit of current clinical practice in the management of osteoporosis in Nottingham.

Authors:  O Sahota; A Worley; D J Hosking
Journal:  J Public Health Med       Date:  2000-12

8.  Osteoporosis prevention counseling during health maintenance examinations.

Authors:  S Schrager; M B Plane; M P Mundt; E A Stauffacher
Journal:  J Fam Pract       Date:  2000-12       Impact factor: 0.493

9.  Management of osteoporosis: a survey of Israeli physicians' knowledge and attitudes.

Authors:  P Werner; I Vered
Journal:  Isr Med Assoc J       Date:  2000-05       Impact factor: 0.892

10.  Patterns of use of the bone mineral density test in Ontario, 1992-1998.

Authors:  S B Jaglal; W J McIsaac; G Hawker; L Jaakkimainen; S M Cadarette; B T Chan
Journal:  CMAJ       Date:  2000-10-31       Impact factor: 8.262

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  37 in total

1.  Physicians, it's in your court now.

Authors:  Steven Lewis
Journal:  CMAJ       Date:  2005-06-20       Impact factor: 8.262

2.  Practice Tips. Counseling patients on bone mineral density results: a helpful tool.

Authors:  Michelle S Naimer
Journal:  Can Fam Physician       Date:  2006-10       Impact factor: 3.275

3.  Physiatrists' opinions and practice patterns for bone health after SCI.

Authors:  M C Ashe; J J Eng; A Krassioukov
Journal:  Spinal Cord       Date:  2008-08-19       Impact factor: 2.772

4.  Osteoporosis knowledge and information needs in healthcare professionals caring for patients with fragility fractures.

Authors:  L Giangregorio; Pauline Fisher; A Papaioannou; J D Adachi
Journal:  Orthop Nurs       Date:  2007 Jan-Feb       Impact factor: 0.913

5.  The role of community pharmacists in the prevention and management of osteoporosis and the risk of falls: results of a cross-sectional study and qualitative interviews.

Authors:  M-C Laliberté; S Perreault; N Damestoy; L Lalonde
Journal:  Osteoporos Int       Date:  2012-10-16       Impact factor: 4.507

6.  Barriers to secondary fracture prevention in primary care.

Authors:  A S Mendis; K Ganda; M J Seibel
Journal:  Osteoporos Int       Date:  2017-06-29       Impact factor: 4.507

7.  The impact of a simple fracture clinic intervention in improving the diagnosis and treatment of osteoporosis in fragility fracture patients.

Authors:  Gillian Hawker; Rowena Ridout; Maria Ricupero; Susan Jaglal; Earl Bogoch
Journal:  Osteoporos Int       Date:  2003-03-04       Impact factor: 4.507

8.  Impact of a primary care physician workshop on osteoporosis medical practices.

Authors:  M-C Laliberté; S Perreault; A Dragomir; J Goudreau; I Rodrigues; L Blais; N Damestoy; D Corbeil; L Lalonde
Journal:  Osteoporos Int       Date:  2009-11-25       Impact factor: 4.507

9.  Multifaceted intervention to improve diagnosis and treatment of osteoporosis in patients with recent wrist fracture: a randomized controlled trial.

Authors:  Sumit R Majumdar; Jeffrey A Johnson; Finlay A McAlister; Debbie Bellerose; Anthony S Russell; David A Hanley; Don W Morrish; Walter P Maksymowych; Brian H Rowe
Journal:  CMAJ       Date:  2008-02-26       Impact factor: 8.262

10.  Direct-to-participant feedback and awareness of bone mineral density testing results in a population-based sample of mid-aged Canadians.

Authors:  E Kingwell; J C Prior; P A Ratner; S M Kennedy
Journal:  Osteoporos Int       Date:  2009-06-04       Impact factor: 4.507

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