Bone Health Conference Grant

描述(由申请人提供)：拟议会议的总体目标是综合当前关于骨健康的研究，并为不同的环境和人群传播骨折预防和骨折前后治疗的最佳实践。具体目标：在本次会议上讨论AHRQ研究开发和传播的优先资助领域时，我们寻求：1)描述成功的基于系统的战略，以改进骨折前后骨质疏松症的诊断和治疗；2)评估具体的干预措施，如病例管理、电子提醒和骨折登记，是否更适合特定环境，如医疗计划、住院环境或多专业实践；3)确定向目前没有解决这一问题的医疗保健系统的管理者传播有效的基于系统的骨质疏松症护理干预措施的方法；4)建立骨折预防和骨折后护理系统化方法的专家社区；5)通过网络和有针对性的出版物和外联，向广泛的利益攸关方传播会议成果，包括公共卫生官员、临床医生、保健组织、研究人员、政策制定者、消费者和业界；以及6)出版一本关于骨折预防和骨折后护理系统干预的“最佳做法”的论文集，作为同行评议期刊的补充。设计和方法：拟议的会议是治疗教育和研究中心(CERTs)计划内的一项合作努力，是国家骨健康行动计划(NAPBH)及其利益相关者组织的倡议。我们的集体使命是整合研究和实践，通过临床和卫生服务研究改善不同人群的卫生保健。在由所有合作伙伴的代表组成的规划委员会的指导下，这次为期两天的会议将讨论对骨骼健康至关重要的问题，包括比较有效性、医疗信息技术、患者安全和医疗服务研究，特别是与AHRQ优先群体相关的问题，如老年人、妇女、有特殊医疗保健需求和残疾的个人以及其他弱势群体。会议形式将包括全体会议和分组会议，以及主持的小组讨论，发言者、演讲者和主持人将从该领域的专家中选出。目标受众包括卫生服务专家、质量改进研究人员和高管、提供者、联邦和州卫生监管机构以及关注卫生保健的立法者和立法人员。此外，会议记录将在会议结束时向公众公布。意义：这次骨健康会议讨论了一个具有国家意义的问题，在卫生局局长和全国骨质疏松和相关骨病联盟最近的报告中都强调了这一点。尽管骨质疏松症的流行和影响以及检测和预防性治疗的可用性，但骨质疏松症仍然没有得到充分的诊断和治疗。在治疗模式、提供者教育以及有关骨健康的公共健康意识和教育方面，已经指出了不足之处。计划中的骨健康会议将解决这些不足之处，并努力加快改善骨质疏松症护理，以减轻骨折带来的高昂个人和经济负担。这次会议的结果将代表我们对骨骼健康的了解以及如何在美国治疗它的前沿。 与公共健康相关：拟议的会议“减轻骨折负担的基于系统的干预最佳做法”的总体目标是综合目前关于骨骼健康的研究，并为各种环境和人群传播骨折预防和骨折前后治疗的最佳做法。这一合作努力是在治疗教育和研究中心(CERTs)计划以及国家骨健康行动计划(NAPBH)及其利益相关者组织的倡议下进行的，将解决当前治疗范例、提供者教育以及有关骨健康的公共健康意识和教育方面的不足。这次会议的结果将代表我们对骨骼健康的了解以及如何在美国治疗它的前沿。

DESCRIPTION (provided by applicant): The overall goal of the proposed conference is to synthesize current research on bone health and to disseminate best practices in fracture prevention and pre- and post-fracture treatment for a variety of settings and populations. Specific aims: In addressing AHRQ's priority funding areas of research development and dissemination with this conference, we seek to: 1) Describe successful system-based strategies for improving diagnosis and treatment of osteoporosis before and after a fracture; 2) Assess whether specific interventions, such as case management, electronic reminders, and fracture registries, are better suited for particular settings, such as health plans, inpatient settings, or multi-specialty practices; 3) Identify ways to disseminate effective systems-based interventions in osteoporosis care to managers of healthcare systems that are not currently addressing this issue; 4) Build a community of experts in systems-based approaches for fracture prevention and post-fracture care; 5) Disseminate conference findings to a broad array of stakeholders, including public health officials, clinicians, health care organizations, researchers, policy- makers, consumers, and industry via the web and targeted publications and outreach; and 6) Publish a proceedings book of "best practices" in systems-based interventions for fracture prevention and post-fracture care as a supplement in a peer-reviewed journal. Design and Methods: The proposed conference is a collaborative effort within the Centers for Education and Research in Therapeutics (CERTs) program and an initiative of the National Action Plan for Bone Health (NAPBH) and its stakeholder organizations. Our collective mission is to integrate research and practice to improve health care among diverse populations through clinical and health services research. Guided by a planning committee comprised of representatives from all partners, this two-day conference will address issues of critical importance to bone health, including comparative effectiveness, health information technology, patient safety, and health services research, especially as they relate to AHRQ priority populations, such as elderly people, women, individuals with special health care needs and disabilities, and other vulnerable populations. Conference formats will include plenary and break-out sessions, as well as moderated panel discussions, and speakers, presenters, and moderators will be chosen from among experts in the field. Target audiences include health services experts, quality improvement researchers and executives, providers, federal and state health regulators and legislators and legislative staff who focus on health care. In addition, proceedings will be made publicly available at the conclusion of the conference. Significance: This bone health conference addresses an issue of national significance, highlighted in recent reports from both the Surgeon General and National Coalition for Osteoporosis and Related Bone Diseases. Despite its prevalence and impact and the availability of testing and preventative treatments, osteoporosis remains under-diagnosed and undertreated. Inadequacies have been cited in the treatment paradigm, provider education, and public health awareness and education around bone health. The planned bone health conference will address these deficiencies and work to accelerate improvement in osteoporosis care to reduce the high personal and economic burden of bone fractures. The results of this conference will represent the cutting edge of what we know about bone health and how to treat it in the US. PUBLIC HEALTH RELEVANCE: The overall goal of the proposed conference, Best Practices In Systems-Based Interventions to Reduce the Burden of Fractures, is to synthesize current research on bone health and to disseminate best practices in fracture prevention and pre- and post-fracture treatment for a variety of settings and populations. This collaborative effort, within the Centers for Education and Research in Therapeutics (CERTs) program and an initiative of the National Action Plan for Bone Health (NAPBH) and its stakeholder organizations, will address deficiencies in the current treatment paradigm, provider education, and public health awareness and education around bone health. The results of this conference will represent the cutting edge of what we know about bone health and how to treat it in the US.