Identificador para citar o enlazar este ítem: http://hdl.handle.net/20.500.13003/16191
Best Practice Framework of Fracture Liaison Services in Spain and their coordination with Primary Care
Identificadores
ISSN: 1862-3522
eISSN: 1862-3514
WOS ID: 000529990700001
Scopus EID: 2-s2.0-85083846527
PMID: 32335759
Embase PUI: L2004783722
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2020-04-25Tipo de documento
research articleCitación
Naranjo A, Ojeda S, Giner M, Balcells-Oliver M, Canals L, Cancio JM, et al. Best Practice Framework of Fracture Liaison Services in Spain and their coordination with Primary Care. Arch Osteoporos. 2020 Apr 25;15(1):63.Resumen
The coordination of Fracture Liaison Services (FLS) with Primary Care (PC) is necessary for the continuity of care of patients with fragility fractures. This study proposes a Best Practice Framework (BPF) and performance indicators for the implementation and follow-up of FLS-PC coordination in clinical practice in Spain. Purpose To develop a BPF for the coordination of FLS with PC in Spain and to improve the continuity of care for patients with fragility fractures. Methods A Steering Committee selected experts from seven Spanish FLS and related PC doctors and nurses to participate in a best practice workshop. Selection criteria were an active FLS with an identified champion and prior contact with PC centres linked to the hospital. The main aim of the workshop was to review current FLS practices in Spain and their integration with PC. A BPF document with processes, tools, roles, and metrics was then generated. Results Spanish FLS consists of a multidisciplinary team of physicians/nurses but with low participation of other professionals and PC staff. Evaluation and treatment strategies are widely variable. Four desired standards were agreed upon: (1) Effective channels for FLS-PC communication; (2) minimum contents of an FLS clinical report and its delivery to PC; (3) adherence monitoring 3 months after FLS baseline visit; and (4) follow-up by PC. Proposed key performance indicators are (a) number of FLS-PC communications, including consensus protocols; (b) confirmation FLS report received by PC; (c) medical/nursing PC appointment after FLS report received; and (d) number of training sessions in PC. Conclusions The BPF provides a comprehensive approach for FLS-PC coordination in Spain, to promote the continuity of care in patients with fragility fractures and improve secondary prevention. The implementation of BPF recommendations and performance indicator tracking will benchmark best FLS practices in the future.
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https://dx.doi.org/10.1007/s11657-020-0693-zPalabras clave
Fragility fractureSecondary prevention
FLS
Fracture Liaison Service
Best Practice Framework
MeSH
Health Plan ImplementationMale
Spain
Female
Humans
Osteoporotic Fractures
Primary Health Care
Practice Guidelines as Topic
Benchmarking
Continuity of Patient Care
DeCS
Continuidad de la Atención al PacienteBenchmarking
Guías de Práctica Clínica como Asunto
Fracturas Osteoporóticas
Humanos
Implementación de Plan de Salud
Femenino
Atención Primaria de Salud
España
Masculino