Team Approach: Organizing and Empowering Multidisciplinary Teams in Postfragility Fracture Care
- PMID: 37972214
- DOI: 10.2106/JBJS.RVW.23.00130
Team Approach: Organizing and Empowering Multidisciplinary Teams in Postfragility Fracture Care
Abstract
» Numerous healthcare roles can be valuable and effective participants in postfracture care programs (PFCPs) and can also serve effectively as program liaisons/champions.» Greatest success seems to have been achieved when a single entity provides cohesive and consistent training, coordination, shared goals, and accountability for program sites and site leaders.» Few PFCPs have solved what seems to be the fundamental challenge of such programs: how to maintain program effectiveness and cohesion when the patient makes the inevitable transition from acute care to primary care? Creating a partnership with shared goals with primary care providers is a challenge for every program in every location.» Programs located in the United States, with its predominantly "open" healthcare system, seem to lag other parts of the world in overcoming this fundamental challenge.» It is hoped that all PFCPs in all systems can learn from the successes of other programs in managing this critical transition from acute to primary care.
Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated.
Conflict of interest statement
Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/B32).
References
-
- Akesson KE, Ganda K, Deignan C, Oates MK, Volpert A, Brooks K, Lee D, Dirschl DR, Singer AJ. Post-fracture care programs for prevention of subsequent fragility fractures: a literature assessment of current trends. Osteoporos Int. 2022;33(8):1659-76.
-
- Bawa H, Weick J, Dirschl DR. Anti-osteoporotic therapy after fragility fracture lowers rate of subsequent fracture: analysis of a large population sample. J Bone Joint Surg Am. 2015;97(19):1555-62.
-
- Ganda K, Mitchell PJ, Seibel MJ. Models of secondary fracture prevention. In: Siebel MJ, Mitchell PJ, eds. Secondary Fracture Prevention: An International Perspective. London, UK: Academic Press; 2019:33-62.
-
- Grigoryan KV, Javedan H, Rudolph JL. Orthogeriatric care models and outcomes in hip fracture patients: a systematic review and meta-analysis. J Orthop Trauman. 2014;28(3):e49-55.
-
- Schweser KM, Crist BD, Nguyen VH. Combined orthogeriatric and fracture liaison service for improved postfracture patient care. Osteoporos Sarcopenia. 2017;3:159.
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