General medical practitioners knowledge and beliefs about osteoporsis and its investigation and management

Otmar, Renée, Reventlow, Susanne D., Nicholson, Geoffrey C., Kotowicz, Mark A. and Pasco, Julie A. (2012) General medical practitioners knowledge and beliefs about osteoporsis and its investigation and management. Archives of Osteoporosis, 7 1-2: 107-114. doi:10.1007/s11657-012-0088-x


Author Otmar, Renée
Reventlow, Susanne D.
Nicholson, Geoffrey C.
Kotowicz, Mark A.
Pasco, Julie A.
Title General medical practitioners knowledge and beliefs about osteoporsis and its investigation and management
Journal name Archives of Osteoporosis   Check publisher's open access policy
ISSN 1862-3522
1862-3514
Publication date 2012-12-01
Sub-type Article (original research)
DOI 10.1007/s11657-012-0088-x
Volume 7
Issue 1-2
Start page 107
End page 114
Total pages 8
Place of publication Guildford, Surrey, United Kingdom
Publisher Springer
Collection year 2013
Language eng
Formatted abstract
Summary This qualitative study explored beliefs and attitudes regarding osteoporosis and its management. General medical practitioners (GPs) were ambivalent about osteoporosis due to concern about financial barriers for patients and their own beliefs about the salience of osteoporosis. GPs considered investigation and treatment in the context of patients' whole lives.
Purpose We aimed to investigate barriers, enablers, and other factors influencing the investigation and management of osteoporosis using a qualitative approach. This paper analyses data from discussions with general medical practitioners (GPs) about their beliefs and attitudes regarding osteoporosis and its management.
Methods Fourteen GPs and two practice nurses aged 27–89 years participated in four focus groups, from June 2010 to March 2011. Each group comprised 3–5 participants, and discussions were semi-structured, according to the protocol developed for the main study. Discussion points ranged from the circumstances under which GPs would initiate investigation for osteoporosis and their subsequent actions to their views about treatment efficacy and patient adherence to prescribed treatment. Audio recordings were transcribed and coded for analysis using analytic comparison to identify the major themes.
Results The GPs were not particularly concerned about osteoporosis in their patients or the general population, ranking diabetes, osteoarthritis, cardiovascular disease, and hypertension higher than concern about osteoporosis. They expressed confidence in the efficacy of anti-fracture medications but were concerned about the potential financial burden on patients with limited incomes. The GPs were unsure about guidelines for investigation and management of osteoporosis in men and the appropriate duration of treatment, particularly for the bisphosphonates in all patients.
Conclusions The GPs' ambivalence about osteoporosis appeared to stem from structural factors such as financial barriers for patients and their own beliefs about the salience of osteoporosis. GPs considered the impact of investigating and prescribing treatment in the context of patients' whole lives.
Keyword Osteoporosis
Qualitative methods
General medical practitioners
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Medicine Publications
 
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Created: Thu, 18 Apr 2013, 00:24:30 EST by Erin Bowly on behalf of Rural Clinical School