Abstract
BackgroundA study to evaluate the impact of a combined intervention (in-class and on-line training courses, a practicum and economic incentives) to improve anti-osteoporosis treatment and to improve recordkeeping for specific information about osteoporosis.Methods/designA before/after study with a non-equivalent control group to evaluate the impact of the interventions associated with participation in the ESOSVAL-R cohort study (intervention group) compared to a group receiving no intervention (control group). The units of analysis are medical practices identified by a Healthcare Position Code (HPC) referring to a specific medical position in primary care general medicine in a Healthcare Department of the Region of Valencia, Spain. The subjects of the study are the 400 participating "practices" (population assigned to health care professionals, doctors and/or nurses) selected by the Healthcare Departments of the Valencia Healthcare Agency for participation as associate researchers in the ESOSVAL-R study (intervention group), compared to 400 participating "practices" assigned to primary care professionals NOT selected for participation as associate researchers in the ESOSVAL-R study, who are selected on the basis of their working in the same Healthcare Centers as the practices receiving the interventions (control group). The study's primary endpoint is the appropriateness of treatment according by the Spanish National Health System guide (2010) and the National Osteoporosis Foundation (NOF, 2008) and International Osteoporosis Foundation guidance (IOF, 2008).The study will also evaluate a series of secondary and tertiary endpoints. The former are the suitability of treatment and evaluation of the risk of fracture; and the latter are the volume of information registered in the electronic clinical records, and the evaluation of risks and the suitability of treatment.
Highlights
A study to evaluate the impact of a combined intervention to improve anti-osteoporosis treatment and to improve recordkeeping for specific information about osteoporosis
The main objective of the ESOSVAL-F study is to evaluate the impact of this multifaceted intervention on improvements in the appropriateness of anti-osteoporosis treatment, and improvements in recordkeeping of the information that is related to osteoporosis and osteoporotic fractures in the ABUCASIS electronic clinical records, comparing the results of the medical professionals participating in the ESOSVAL-R study (Intervention Group) with those clinicians who are not participating in the project (Control Group)
This requires the healthcare providers to include relevant information in the clinical records of 18 patients, and involves a hands-on practicum in obtaining information about osteoporosis and its incorporation into the clinical records; 3) participation in the study has been included as an “indicator” towards gaining points in the Valencia Health Agency’s Management Contract, that will lead to economic incentives; 4) An on-line course on osteoporosis will be given during the first, third and fourth quarters of 2010
Summary
Osteoporosis is a systemic disease of the skeleton characterized by a loss in the bone’s resistance increasing the risk of fracture. The ESOSVAL project involves the training of 800 primary care doctors and nurses who participate in the ESOSVAL-Risk (ESOSVAL-R) study [12] These professionals will use the modified ABUCASIS computerized clinical records to follow-up 14,500 patients during 7-10 years. The main objective of the ESOSVAL-F study is to evaluate the impact of this multifaceted intervention on improvements in the appropriateness of anti-osteoporosis treatment, and improvements in recordkeeping of the information that is related to osteoporosis and osteoporotic fractures in the ABUCASIS electronic clinical records, comparing the results of the medical professionals participating in the ESOSVAL-R study (Intervention Group) with those clinicians who are not participating in the project (Control Group)
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