Primary care house staff attitudes toward osteoporosis management.

Journal Article (Journal Article)

OBJECTIVE: This study assessed possible institutional and patient-related factors influencing the delivery of postmenopausal osteoporosis (PMO) care and the diagnostic priority placed on addressing PMO, relative to other common medical conditions, by primary care house staff at our institution. METHODS: A questionnaire was designed and distributed to eligible house staff at our institution. RESULTS: Approximately 50% (n = 52) of the house staff participated. The supervising clinic attending, patients' lack of insurance, accessibility to medical care, comorbid conditions, and university formulary were reported to influence decisions regarding osteoporosis care. Osteoporosis was ranked 6th of 7 medical issues (hypertension, coronary artery disease, diabetes, hypercholesterolemia, adult immunizations, osteoporosis, thyroid disease) to address during a comprehensive medical visit. CONCLUSIONS: Our institution's primary care house staff reported multiple influences on decision making regarding osteoporosis care, and an overall low priority to address this issue. Based on PMO's associated morbidity and mortality, primary care training programs are challenged to put resources toward optimizing house staff delivery of osteoporosis care.

Full Text

Duke Authors

Cited Authors

  • McNearney, TA; Shepherd, AJ; Chhabra, A; Goel, N

Published Date

  • May 2006

Published In

Volume / Issue

  • 99 / 5

Start / End Page

  • 461 - 466

PubMed ID

  • 16711307

International Standard Serial Number (ISSN)

  • 0038-4348

Digital Object Identifier (DOI)

  • 10.1097/01.smj.0000216495.79818.eb


  • eng

Conference Location

  • United States