Patient Decision to Initiate Therapy for Osteoporosis: The Influence of Knowledge and Beliefs
Patient Decision to Initiate Therapy for Osteoporosis: The Influence of Knowledge and Beliefs
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DOI：
10.1007/s11606-008-0772-0
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发表时间：
2008-11-01
影响因子：
5.7
通讯作者：
Kahler, Kristijan H.
中科院分区：
文献类型：
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作者：
Yood, Robert A.;Mazor, Kathleen M.;Kahler, Kristijan H.
背景技术背景：有有效的治疗方法来预防骨质疏松性骨折，但这些治疗方法是underutilized.Objective：评估患者的特点，感知，知识和信念对骨质疏松症的决定开始骨质疏松治疗的影响。我们确定了一个管理式护理计划的女性成员谁有双能X线吸收测定法（DXA）骨密度测试，并符合世界卫生组织骨质疏松症的标准。患者被排除在外，如果他们收到的adenotic药物在前6 months.MEASUREMENTS：患者被发送一份问卷，其中包括项目评估满意度与医患沟通，信任的医生，骨质疏松症的知识和信念，信念有关的处方药，和药物使用的障碍的看法。行政电子健康记录，以确定处方药的使用和卫生保健utilization.RESULTS：236名妇女返回调查和研究授权表的465联系参与。135例（57.2%）患者在DXA检查后的前3个月内填写了一份抗抑郁药物处方。开始和未开始治疗的患者之间最大的差异是对药物益处的信念和对药物的不信任，开始治疗的患者更强烈地相信药物的益处和有效性（p
BACKGROUND: There are effective treatments to prevent osteoporotic fractures, but these treatments are underutilized.OBJECTIVE: To evaluate the influence of patient characteristics, perceptions, knowledge and beliefs about osteoporosis on the decision to initiate osteoporotic treatment.PARTICIPANTS: We identified female members of a managed care plan who had a dual energy x-ray absorptiometry (DXA) bone density test and fulfilled World Health Organization criteria for osteoporosis. Patients were excluded if they received osteoporotic medications in the prior 6 months.MEASUREMENTS: Patients were sent a questionnaire that included items assessing satisfaction with physician-patient communication, trust in the physician, osteoporosis knowledge and beliefs, beliefs about prescription medications, and perceptions of barriers to medication use. Administrative electronic health records were used to identify prescription drug use and health care utilization.RESULTS: Two hundred and thirty-six women returned surveys and research authorization forms out of 465 contacted for participation. One hundred and thirty-five (57.2%) filled a prescription for an osteoporotic drug in the first 3 months after the DXA exam. The largest differences between initiators and non-initiators were in beliefs in the benefits of medications, and distrust of medications, with initiators believing more strongly in the benefits and effectiveness of medications (p