Evaluation of an Osteoporosis Outreach Program for Men With a Fragility Fracture and Their Physicians.

Abstract:

BACKGROUND:Many health plans have outreach programs aimed at appropriately screening, evaluating, and treating women experiencing fragility fractures; however, few programs exist for men. OBJECTIVE:The objective of this study was to develop, implement, and evaluate an osteoporosis outreach program for men with a recent fragility fracture and their physicians. RESEARCH DESIGN AND SUBJECTS:A total of 10,934 male patients enrolled in a Medicare Advantage with Prescription Drug Plan with a recent fragility fracture were randomized to a program or control group. Patients and their physicians received letters followed by phone calls on osteoporosis and the importance of screening and treatment. The evaluation compared bone mineral density (BMD) test utilization and osteoporosis medication treatment (OPT) among patients who received the outreach versus no outreach at 12 months. The effect of the program was estimated through univariate and multivariable logistic regressions. RESULTS:The program had a significant impact on BMD evaluation and OPT initiation. At 12 months, 10.7% of participants and 4.9% of nonparticipants received a BMD evaluation. The odds ratio (OR) (95% confidence interval) was 2.31 (1.94, 2.76), and the number needed to outreach to receive a BMD test was 18. OPT was initiated in 4.0% of participants and 2.5% of nonparticipants. The OR (95% confidence interval) of receiving OPT was 1.60 (1.24, 2.07), and the number needed to outreach was 69. Adjusted ORs were similar in magnitude and significance. CONCLUSION:The program was highly effective by more than doubling the rate of BMD evaluation; however, more intensive interventions may yield an even higher screening rate.

journal_name

Med Care

journal_title

Medical care

authors

Pasquale MK,Sheer RL,Yehoshua A,McFadden A,Chines A,Caloyeras J

doi

10.1097/MLR.0000000000001459

subject

Has Abstract

pub_date

2021-02-01 00:00:00

pages

148-154

issue

2

eissn

0025-7079

issn

1537-1948

pii

00005650-202102000-00009

journal_volume

59

pub_type

杂志文章
  • Interpreter use and satisfaction with interpersonal aspects of care for Spanish-speaking patients.

    abstract:OBJECTIVES:Many patients have limited English proficiency and require an interpreter. The authors evaluated the effect of current interpreting practices on Spanish-speaking patients' satisfaction with the patient-provider relationship. METHODS:A cross-sectional survey was conducted of 457 patients seen in a public hos...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199810000-00004

    authors: Baker DW,Hayes R,Fortier JP

    更新日期:1998-10-01 00:00:00

  • Assessing the health of the nation. The predictive validity of a preference-based measure and self-rated health.

    abstract::Health-related quality-of-life (HRQOL) measures are becoming increasingly important for evaluating the effectiveness of medical interventions and assessing the health of populations. Preference-based instruments, a subset of HRQOL measures, allow comparisons of overall health status in populations and in clinical sett...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199602000-00008

    authors: Gold M,Franks P,Erickson P

    更新日期:1996-02-01 00:00:00

  • Physician's extenders' performance in Air Force clinics.

    abstract::We evaluated the quality of care of physician's extenders (PEs: 23 physician's assistants, 7 primary care nurse practitioners) in Air Force primary medicine clinics, as part of an evaluation of PEs' assuming a considerable portion of the care, formerly provided by physicians in the military medical system. Physician's...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198109000-00007

    authors: Goldberg GA,Jolly DM,Hosek S,Chu DS

    更新日期:1981-09-01 00:00:00

  • Application of functional independence measure-function related groups and resource utilization groups-version III systems across post acute settings.

    abstract:OBJECTIVES:The present study evaluated alternative patient classification systems for skilled nursing facility and rehabilitation facility patients. METHODS:Medicare patients were selected from a random sample of 27 rehabilitation facilities and 65 skilled nursing facilities participating in a national longitudinal st...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199805000-00009

    authors: Eilertsen TB,Kramer AM,Schlenker RE,Hrincevich CA

    更新日期:1998-05-01 00:00:00

  • Practice mobility among young physicians.

    abstract::This study examines practice mobility among young physicians, based on a large nationwide 1987 survey of physicians under age 40 years and in their second through fifth years of practice. Averaged across all physicians, there is a 10% to 12% chance of changing practices for each of the first 3 years, and about one in ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199110000-00004

    authors: Willke RJ

    更新日期:1991-10-01 00:00:00

  • Gynecologists in the VA: do they enhance availability of sex-specific services and policies in the emergency department?

    abstract:OBJECTIVES:To examine the association between on-site gynecology and availability of sex-specific services and policies in Department of Veterans Affairs (VA) emergency departments (EDs). RESEARCH DESIGN:Cross-sectional analysis using data from a VA national inventory of emergency services for women and gynecologist s...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000311

    authors: Gray KE,Katon JG,Callegari LS,Cordasco KM,Zephyrin LC

    更新日期:2015-04-01 00:00:00

  • Paid work and unpaid help by caregivers of the disabled and frail elders.

    abstract::Informal caregiving by women, and to a lesser extent by men, is a major source of assistance for the chronically disabled and most dependent older persons living in the community. However, because women's commitment to career employment may diminish, this source of help at the time when (according to demographic trend...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199202000-00006

    authors: Boaz RF,Muller CF

    更新日期:1992-02-01 00:00:00

  • Quality of acute episodic care in investor-owned ambulatory health centers.

    abstract::This article examines the quality of acute episodic care for five diagnostic categories amenable to one-visit diagnosis and treatment at the nation's largest chain of investor-owned ambulatory care centers. A total of 803 medical records were audited for five common conditions and measured against specific protocols. ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199101000-00007

    authors: Parks CL,Cashman S,Winickoff RN,Bicknell WJ

    更新日期:1991-01-01 00:00:00

  • Rates of complete colonic evaluation after incomplete colonoscopy and their associated factors: a population-based study.

    abstract:BACKGROUND:With the increasing use of colonoscopy there is growing concern about the quality of these procedures. OBJECTIVE:To evaluate the rates of complete colonic evaluation after an incomplete colonoscopy and their associated factors. METHODS:Men and women > or =50 years old living in Ontario on January 1, 1997 w...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e31817d92bc

    authors: Rizek R,Paszat LF,Stukel TA,Saskin R,Li C,Rabeneck L

    更新日期:2009-01-01 00:00:00

  • Sociodemographic and health characteristics, rather than primary care supply, are major drivers of geographic variation in preventable hospitalizations in Australia.

    abstract:BACKGROUND:Geographic rates of preventable hospitalization are used internationally as an indicator of accessibility and quality of primary care. Much research has correlated the indicator with the supply of primary care services, yet multiple other factors may influence these admissions. OBJECTIVE:To quantify the rel...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000342

    authors: Falster MO,Jorm LR,Douglas KA,Blyth FM,Elliott RF,Leyland AH

    更新日期:2015-05-01 00:00:00

  • Influence of Peer Physicians on Intensity of End-of-Life Care for Cancer Decedents.

    abstract:BACKGROUND:The intensity of end-of-life care varies substantially both within and between areas. Differing practice patterns of individual physicians are likely influenced by their peers. OBJECTIVE:To assess whether intensity of end-of-life care previously provided by a physician's peers influences patterns of care at...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000001124

    authors: Keating NL,O'Malley AJ,Onnela JP,Gray SW,Landon BE

    更新日期:2019-06-01 00:00:00

  • The influence of proxy perspective on patient-proxy agreement in the evaluation of health-related quality of life: an empirical study.

    abstract:AIMS:There are situations in which patient self-reported health-related quality of life must be substituted by proxy assessments. Pickard and Knight recently delineated 2 proxy perspectives that may influence the nature of proxy measurements: the "proxy-patient" (the proxy's assessment from the patient's perspective) a...

    journal_title:Medical care

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MLR.0b013e318158af13

    authors: Gundy CM,Aaronson NK

    更新日期:2008-02-01 00:00:00

  • Patient complexity and risk factor control among multimorbid patients with type 2 diabetes: results from the R2D2C2 study.

    abstract:BACKGROUND:Among patients with type 2 diabetes, it is not known whether risk factor control is better or worse for those who also have heart disease, depression, multiple other comorbidities, and associated management challenges. OBJECTIVE:To examine the relationship between this complex constellation of multimorbidit...

    journal_title:Medical care

    pub_type: 杂志文章,多中心研究

    doi:10.1097/MLR.0b013e318273119b

    authors: Malik S,Billimek J,Greenfield S,Sorkin DH,Ngo-Metzger Q,Kaplan SH

    更新日期:2013-02-01 00:00:00

  • Format review: evaluating implementation of the problem-oriented medical record.

    abstract::As interest in the problem-oriented medical record (POMR) develops, and more medical settings begin to implement the system, many observers are expressing a desire to know how well the system is being used and accepted. Moreover, settings currently using the POMR system have a need to document the effectiveness of the...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-197610000-00006

    authors: Hammett WH,Sandlow LJ,Bashook PG

    更新日期:1976-10-01 00:00:00

  • What did the doctor say? Health literacy and recall of medical instructions.

    abstract:BACKGROUND:Limited literacy has repeatedly been linked to problems comprehending health information, although the majority of studies to date have focused on reading various print health materials. We sought to investigate patients' ability to recall spoken medical instructions in the context of a hypothetical clinical...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e318241e8e1

    authors: McCarthy DM,Waite KR,Curtis LM,Engel KG,Baker DW,Wolf MS

    更新日期:2012-04-01 00:00:00

  • Impact of a Medicaid copayment policy on prescription drug and health services utilization in a fee-for-service Medicaid population.

    abstract:BACKGROUND:Copayments (copays) for prescription drugs are a common policy among state Medicaid programs. Research exploring the effects of copays on pharmacy and health care utilization in Medicaid patients is limited, especially among patients with chronic disease. OBJECTIVES:The goal of this research was to quantify...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e3181734a77

    authors: Hartung DM,Carlson MJ,Kraemer DF,Haxby DG,Ketchum KL,Greenlick MR

    更新日期:2008-06-01 00:00:00

  • Boston Working Group on Improving Health Care Outcomes Through Geriatric Rehabilitation.

    abstract::Geriatric rehabilitation is a multidisciplinary set of evaluative, diagnostic, and therapeutic interventions whose purpose is to restore functional ability or enhance residual functional capability in elderly people with disabling impairments. The Boston Working Group on Improving Health Care Outcomes Through Geriatri...

    journal_title:Medical care

    pub_type:

    doi:10.1097/00005650-199706001-00003

    authors:

    更新日期:1997-06-01 00:00:00

  • Overall quality of life and difficulty paying for ostomy supplies in the Veterans Affairs ostomy health-related quality of life study: an exploratory analysis.

    abstract:PURPOSE:To explore whether there was a significant relationship between difficulty paying for ostomy supplies and overall quality of life among a sample of ostomates receiving care from the Veterans Health Administration (VHA). METHODS:The data were collected as part of the Veterans Affairs (VA) Ostomy Health-Related ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e318074ce9b

    authors: Coons SJ,Chongpison Y,Wendel CS,Grant M,Krouse RS

    更新日期:2007-09-01 00:00:00

  • Improving risk adjustment for Medicare capitated reimbursement using nonlinear models.

    abstract:OBJECTIVES:This article compares a linear risk-adjusted model of medical expenditures for Medicare patients with a model that explicitly account for skewness in distribution of expenditures. METHODS:A model of expenditures and a model of the square root of expenditures, each expressed as linear combinations of risk ad...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/01.MLR.0000065127.88685.7D

    authors: Veazie PJ,Manning WG,Kane RL

    更新日期:2003-06-01 00:00:00

  • The use of patient perceptions in the evaluation of health-care delivery systems.

    abstract:OBJECTIVES:Patient perceptions are increasingly used to measure quality of care in a diversity of health-care delivery settings. The goals of this article are to review the current use of patient perceptions and to review what is known about the sensitivity of patient perceptions for discerning variations in care acros...

    journal_title:Medical care

    pub_type: 杂志文章,评审

    doi:10.1097/00005650-199711001-00007

    authors: Rosenthal GE,Shannon SE

    更新日期:1997-11-01 00:00:00

  • Accuracy of Medicare claims data for estimation of cancer incidence and resection rates among elderly Americans.

    abstract::To explore the reliability of Medicare Part A claims data for clinical and health services research related to the care of patients with cancer, the authors compared estimates of the incidence of and resection rates for cancer of the breast, colon, and lung derived from analysis of Medicare Part A data versus data fro...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199112000-00005

    authors: Whittle J,Steinberg EP,Anderson GF,Herbert R

    更新日期:1991-12-01 00:00:00

  • The role of public insurance and the public delivery system in improving birth outcomes for low-income pregnant women.

    abstract:BACKGROUND:Insurance expansions and service delivery system expansions are alternative policy instruments used to try to improve birth outcomes for low-income women. OBJECTIVES:The objective of this research is to investigate the effect of expansions of public insurance on access and birth outcomes for pregnant women ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-200211000-00006

    authors: Susan Marquis M,Long SH

    更新日期:2002-11-01 00:00:00

  • Organizational Influences on Time Pressure Stressors and Potential Patient Consequences in Primary Care.

    abstract:BACKGROUND:Primary care teams face daily time pressures both during patient encounters and outside of appointments. OBJECTIVES:We theorize 2 types of time pressure, and test hypotheses about organizational determinants and patient consequences of time pressure. RESEARCH DESIGN:Cross-sectional, observational analysis ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000000974

    authors: McDonald KM,Rodriguez HP,Shortell SM

    更新日期:2018-10-01 00:00:00

  • Constructing a composite quality score for the care of acute myocardial infarction patients at discharge: impact on hospital ranking.

    abstract:OBJECTIVE:To determine the impact on hospital ranking of different aggregation methods when creating a composite score from a set of quality indicators relating to a single clinical condition. DESIGN:The analysis was based on 14966 medical records taken from all French hospitals that treated over 30 patients with acut...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e31820fc386

    authors: Couralet M,Guérin S,Le Vaillant M,Loirat P,Minvielle E

    更新日期:2011-06-01 00:00:00

  • Valuing the SF-6Dv2 Classification System in the United Kingdom Using a Discrete-choice Experiment With Duration.

    abstract:OBJECTIVE:An updated version of the SF-6D Classification System (SF-6Dv2) has been developed, and utility value sets are required. The aim of this study was to test the development of a United Kingdom SF-6Dv2 value set, and address limitations of the existing SF-6D value set (which results in a narrow range of utilitie...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000001324

    authors: Mulhern BJ,Bansback N,Norman R,Brazier J,SF-6Dv2 International Project Group.

    更新日期:2020-06-01 00:00:00

  • Geographic variation in utilization of cataract surgery.

    abstract::Cataract surgery is the most frequently performed surgical procedure on Medicare beneficiaries, with an annual cost to the Medicare program of more than $3.4 billion. In this study, the relationship between demographic, environmental, and provider-related factors, and the likelihood that cataract surgery will be perfo...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-199501000-00008

    authors: Javitt JC,Kendix M,Tielsch JM,Steinwachs DM,Schein OD,Kolb MM,Steinberg EP

    更新日期:1995-01-01 00:00:00

  • Person-centered care practices and quality in Department of Veterans Affairs nursing homes: is there a relationship?

    abstract:OBJECTIVE:To examine variation in culture change to a person-centered care (PCC) model, and the association between culture change and a composite measure of quality in 107 Department of Veterans Affairs nursing homes. METHODS:We examined the relationship between a composite quality measure calculated from 24 quality ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e3182763230

    authors: Sullivan JL,Shwartz M,Burgess JF Jr,Peköz EA,Christiansen CL,Gerena-Melia M,Berlowitz D

    更新日期:2013-02-01 00:00:00

  • Electronic health record-based cardiac risk assessment and identification of unmet preventive needs.

    abstract:BACKGROUND:Cardiac risk assessment may not be routinely performed. Electronic health records (EHRs) offer the potential to automate risk estimation. We compared EHR-based assessment with manual chart review to determine the accuracy of automated cardiac risk estimation and determination of candidates for antiplatelet o...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0b013e31818dce21

    authors: Persell SD,Dunne AP,Lloyd-Jones DM,Baker DW

    更新日期:2009-04-01 00:00:00

  • Portal Use Among Patients With Chronic Conditions: Patient-reported Care Experiences.

    abstract:BACKGROUND:Personal health records offer patients access to view their own health information and to manage their care online through secure patient portal tools. Little is known about the patient-reported experience in using health portals to manage chronic conditions. OBJECTIVE:In a patient-centered research study, ...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/MLR.0000000000001178

    authors: Reed ME,Huang J,Millman A,Graetz I,Hsu J,Brand R,Ballard DW,Grant R

    更新日期:2019-10-01 00:00:00

  • Health care and insurance loss of working AFDC recipients.

    abstract::The federal Omnibus Budget Reconciliation Act of 1981 (OBRA) produced substantial changes in the Aid to Families With Dependent Children (AFDC) program. The main effect of the changes has been the denial of assistance and hence Medicaid coverage to many AFDC recipients with jobs. Our analysis of the health care and in...

    journal_title:Medical care

    pub_type: 杂志文章

    doi:10.1097/00005650-198705000-00005

    authors: Moscovice I,Davidson G

    更新日期:1987-05-01 00:00:00