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http://ir.nhri.org.tw/handle/3990099045/16430
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Title: | Enhancing osteoporosis care in rural settings: A comprehensive intervention approach and its impact on treatment rates |
Authors: | Lai, WJ;Fu, SH;Wang, CY |
Contributors: | National Center for Geriatrics and Welfare Research |
Abstract: | Objective: To evaluate the impact of a comprehensive intervention on enhancing both the hospital arrival and treatment rate of anti-osteoporosis medication (AOM) within a rural community. Methods: In this randomized controlled trial, 567 patients were allocated to three groups: Comprehensive Care (CC), Osteoporosis Care Only (OC), and Delayed Care (DC). The CC and OC groups received five interventions, encompassing professional and specialist support, increasing disease awareness, transportation assistance, peer support, and case management; the DC group received only the first two interventions. Results: In the CC group, 73.3% (85 individuals) of the 116 participants recommended for hospital treatment successfully arrived, with 58.6% (68 individuals) receiving AOM. Conversely, in the DC group, only 4.1% (6 individuals) out of 146 recommended for hospitalization reached the hospital and received AOM after screening. Significantly divergent proportions were observed between the CC and DC groups concerning hospital arrival (P < 0.001) and AOM receipt (P < 0.01). Similar significant outcomes were noted in the OC group in comparison with DC group. In the OC group, 81% (124 individuals) of the 153 recommended for hospitalization arrived after intervention, and 69.3% (106 individuals) received AOM. The results were also significant when compared to the DC group (P < 0.001, P < 0.001, respectively). Conclusion: The findings underscore the imperative for a comprehensive intervention to enhance osteoporosis treatment rates in rural regions. The notable increase in hospital arrival and treatment rates observed in both the CC and OC groups contrast with those in the DC group. These results emphasize the significance of incorporating healthcare professionals and specialists, increasing disease awareness, and offering supportive measures to facilitate rural patients in accessing healthcare services. |
Date: | 2024-08-20 |
Relation: | Aging Clinical and Experimental Research. 2024 Aug 20;36:S605. |
Link to: | http://dx.doi.org/10.1007/s40520-024-02766-y |
JIF/Ranking 2023: | http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=&DestApp=IC2JCR |
Cited Times(WOS): | https://www.webofscience.com/wos/woscc/full-record/WOS:001363175504219 |
Appears in Collections: | [Chen-Yu Wang] Conference Papers/Meeting Abstract
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ISI001363175504219.pdf | | 176Kb | Adobe PDF | 26 | View/Open |
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