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The Contribution of Patient, Primary Care Physician, and Primary Care Clinic Factors to Good Bone Health Care.


ABSTRACT:

Background/objective

Patient, provider, and system factors can contribute to chronic care management and outcomes. Few studies have examined these multilevel associations with osteoporosis care and outcomes. We examined how key process and structural factors at the patient, primary care physician (PCP), and primary care clinic (PCC) levels were associated with guideline concordant osteoporosis pharmacotherapy, daily calcium intake, vitamin D supplementation, and weekly exercise sessions at 52 weeks following enrollment in a cluster randomized controlled trial.

Methods

We conducted a secondary analysis of observational data from 1 site of the trial. The study sample included 1996 men and women ≥ 50 years of age at the time of recruitment following completion of a dual-energy

SUBMITTER: Roblin DW 

PROVIDER: S-EPMC8784026 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature