Bone Health Conference Grant

描述（由申请人提供）：拟议会议的总体目标是综合目前对骨骼健康的研究，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实践。具体目标：在这次会议上，我们讨论了AHRQ在研究开发和传播方面的优先资助领域，我们寻求：1）描述成功的基于系统的策略，以改善骨折前后骨质疏松症的诊断和治疗; 2）评估特定干预措施，如病例管理、电子提醒和骨折登记，是否更适合特定环境，如健康计划、住院环境，或多专业的做法; 3）确定如何传播有效的基于系统的干预措施，在骨质疏松症护理的医疗保健系统的管理人员，目前没有解决这个问题; 4）建立一个社区的专家在基于系统的方法，骨折预防和骨折后护理; 5）向广泛的利益攸关方传播会议结果，包括公共卫生官员、临床医生、卫生保健组织、研究人员、决策者，通过网络和有针对性的出版物和外联活动，与消费者和行业进行交流;以及6）出版一本关于骨折预防和骨折后护理系统干预措施“最佳做法”的议事录，作为同行评审期刊的补编。设计和方法：拟议的会议是治疗学教育和研究中心（CERT）计划内的一项合作努力，也是国家骨骼健康行动计划（NAPBH）及其利益相关者组织的一项倡议。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，卫生信息技术，患者安全和卫生服务研究，特别是因为它们涉及AHRQ优先人群，如老年人，妇女，有特殊卫生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，演讲者，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行政人员、供应商、联邦和州卫生监管机构和立法人员以及专注于卫生保健的立法人员。此外，会议记录将在会议结束时公布。重要性：这次骨健康会议解决了一个具有全国意义的问题，在最近的报告中强调了外科医生和全国骨质疏松症和相关骨骼疾病联盟。尽管骨质疏松症的患病率和影响以及检测和预防性治疗的可用性，但骨质疏松症仍然诊断不足和治疗不足。在治疗范例、提供者教育以及围绕骨骼健康的公共卫生意识和教育方面存在不足。计划中的骨健康会议将解决这些缺陷，并致力于加速改善骨质疏松症护理，以减少骨折的高个人和经济负担。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最前沿。 公共卫生相关性：拟议会议的总体目标是，减少骨折负担的基于系统的干预措施的最佳实践，是综合目前对骨骼健康的研究，并传播骨折预防和骨折前后治疗的最佳实践，适用于各种环境和人群。在治疗学教育和研究中心（CERT）计划和国家骨骼健康行动计划（NAPBH）及其利益相关者组织的倡议下，这项合作努力将解决当前治疗模式，提供者教育以及围绕骨骼健康的公共卫生意识和教育中的缺陷。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最前沿。

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.