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首页> 外文期刊>Disease Management >An Ongoing Six-Year Innovative Osteoporosis Disease Management Program: Challenges and Success in an IPA Physician Group Environment
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An Ongoing Six-Year Innovative Osteoporosis Disease Management Program: Challenges and Success in an IPA Physician Group Environment

机译：正在进行的六年创新性骨质疏松症疾病管理计划：IPA医师小组环境中的挑战与成功

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The goal of this ongoing comprehensive osteoporosis disease management initiative is to provide the adult primary care physicians' (PCPs) offices with a program enabling them to systematically identify and manage their population for osteoporosis. For over six years, Hill Physicians Medical Group (Hill Physicians) has implemented multiple strategies to develop a best practice for identifying and treating members who were candidates for osteoporosis therapy. Numerous tools were used to support this disease management effort, including: evidence-based clinical practice guidelines, patient education sessions, the Simple Calculated Osteoporosis Risk Estimation (SCORE) questionnaire tool, member specific reports for PCPs, targeted member mailings, office-based Peripheral Instantaneous X-ray Imaging (PIXI) test and counseling, dual x-ray absorptiometry (DEXA) scan guidelines, and web-based Electronic Simple Calculated Osteoporosis Risk Estimation (eSCORE) questionnaire tools. Hill Physicians tabulated results for patients who completed 2649 SCORE tests, screened 978 patients with PIXI tests, and identified 338 osteopenic and 124 osteoporotic patients. The preliminary results of this unique six-year ongoing educational initiative are slow but promising. New physician offices express interest in participating and those offices that have participated in the program continue to screen for osteoporosis. Hill Physicians' message is consistent and is communicated to the physicians repeatedly in different ways in accordance with the principles of educational outreach. Physicians who have conducted the program have positive feedback from their patients and office staff and have begun to communicate their experience to their peers.
机译：这项正在进行的全面骨质疏松症疾病管理计划的目标是为成年初级保健医师（PCP）办公室提供一个程序，使他们能够系统地识别和管理骨质疏松症的人群。六年多来，希尔医师医学集团（Hill Physicians）实施了多种策略，以开发出最佳方法来识别和治疗骨质疏松症治疗的候选成员。使用了许多工具来支持这种疾病管理工作，包括：基于证据的临床实践指南，患者教育课程，简单计算的骨质疏松症风险估算（SCORE）问卷工具，针对PCP的会员特定报告，目标会员邮件，基于办公室的外围设备即时X射线成像（PIXI）测试和咨询，双X射线吸收测定（DEXA）扫描指南以及基于Web的电子简单计算的骨质疏松症风险估计（eSCORE）问卷工具。希尔医师列出了完成2649个SCORE测试，筛选978例PIXI测试的患者，确定338例骨质疏松和124例骨质疏松患者的结果。这项为期六年的独特的持续性教育计划的初步结果虽然缓慢，但却很有希望。新的医师办公室表示有兴趣参加，已经参加该计划的那些办公室继续筛查骨质疏松症。希尔医师的信息是一致的，并根据教育推广的原则以不同的方式反复传达给医生。实施该计划的医师从患者和办公室工作人员那里获得了积极的反馈，并开始将自己的经验传达给同龄人。

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