The utilization of appropriate osteoporosis medications improves following a multifaceted educational intervention: The Canadian Quality Circle Project (CQC).

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dc.contributor.authorIoannidis, George
dc.contributor.authorPapaioannou, Alexandra
dc.contributor.authorThabane, Lehana
dc.contributor.authorGafni, Amiram
dc.contributor.authorHodsman, Anthony
dc.contributor.authorKvern, Brent
dc.contributor.authorWalsh, Aleksandra
dc.contributor.authorJiwa, Famida
dc.contributor.authorAdachi, Jonathan D
dc.date.accessioned2013-07-24T19:06:35Z
dc.date.available2013-07-24T19:06:35Z
dc.date.issued2009-08-06
dc.date.updated2013-07-24T19:06:35Z
dc.description.abstractAbstract Background Osteoporosis is a serious but treatable condition. However, appropriate therapy utilization of the disease remains suboptimal. Thus, the objective of the study was to change physicians' therapy administration behavior in accordance with the Osteoporosis Canada 2002 guidelines. Methods The Project was a two year cohort study that consisted of five Quality Circle (QC) phases that included: 1) Training & Baseline Data Collection, 2) First Educational Intervention & First Follow-Up Data Collection 3) First Strategy Implementation Session, 4) Final Educational Intervention & Final Follow-up Data Collection, and 5) Final Strategy Implementation Session. A total of 340 family physicians formed 34 QCs and participated in the study. Physicians evaluated a total of 8376, 7354 and 3673 randomly selected patient charts at baseline, follow-up #1 and the final follow-up, respectively. Patients were divided into three groups; the high-risk, low-risk, and low-risk without fracture groups. The generalized estimating equations technique was utilized to model the change over time of whether physicians Results The odds of appropriate therapy was 1.29 (95% CI: 1.13, 1.46), and 1.41 (95% CI: 1.20, 1.66) in the high risk group, 1.15 (95% CI: 0.97, 1.36), and 1.16 (95% CI: 0.93, 1.44) in the low risk group, and 1.20 (95% CI: 1.01, 1.43), and 1.23 (95% CI: 0.97, 1.55) in the low risk group without fractures at follow-up #1 and the final follow-up, respectively. Conclusion QCs methodology was successful in increasing physicians' appropriate use of osteoporosis medications in accordance with Osteoporosis Canada guidelines.
dc.description.versionPeer Reviewed
dc.identifier.citationBMC Medical Education. 2009 Aug 06;9(1):54
dc.identifier.doihttp://dx.doi.org/10.1186/1472-6920-9-54
dc.identifier.urihttp://hdl.handle.net/1993/21937
dc.language.rfc3066en
dc.rightsopen accessen_US
dc.rights.holderGeorge Ioannidis et al.; licensee BioMed Central Ltd.
dc.titleThe utilization of appropriate osteoporosis medications improves following a multifaceted educational intervention: The Canadian Quality Circle Project (CQC).
dc.typeJournal Article
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