Barriers to the implementation of evidence in osteoporosis treatment in hip fracture.
An audit at a private tertiary hospital showed low rates of assessment and treatment of osteoporosis in minimal trauma patients of hip fracture. A survey sent to all doctors involved in hip fracture care to establish medical beliefs about effective management of osteoporosis in minimal trauma hip fracture patients showed a lack of ownership for investigation and beliefs influencing treatment choices. Understanding the barriers to the translation of evidence into practice is vital to improve patient care.
Levinson
M R
MR
Cabrini-Monash Department of Medicine, Cabrini Institute, Cabrini Hospital, Melbourne, Victoria, Australia. mlevinson@cabrini.com.au
Clay
F J
FJ
D000058:Accidental Falls; D015519:Bone Density / Q000502:physiology; D050071:Bone Density Conservation Agents / Q000627:therapeutic use*; D002118:Calcium / Q000097:blood / Q000627:therapeutic use; D019317:Evidence-Based Medicine; D007722:Health Knowledge, Attitudes, Practice; D006620:Hip Fractures / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D016304:Hospitals, Private; D006801:Humans; D008485:Medical Audit; D009985:Orthopedics / Q000592:standards; D010024:Osteoporosis / Q000175:diagnosis / Q000188:drug therapy*; D005791:Patient Care / Q000592:standards*; D010820:Physicians / Q000523:psychology*; D018570:Risk Assessment; D011795:Surveys and Questionnaires; D014807:Vitamin D / Q000097:blood / Q000627:therapeutic use
D050071:Bone Density Conservation Agents; D014807:Vitamin D; D002118:Calcium