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Barriers and Expectations for Patients in Post-Osteoporotic Fracture Care in France: The EFFEL Study
- Source :
- Value in Health, Value in Health, Elsevier, 2021, ⟨10.1016/j.jval.2021.10.005⟩
- Publication Year :
- 2021
- Publisher :
- HAL CCSD, 2021.
-
Abstract
- Objectives This study aimed to quantify the relative importance of barriers to better secondary prevention of osteoporotic fractures and of care expectations expressed by patients with osteoporotic fractures in France. Methods A qualitative exploration of potential barriers to care and expectations was undertaken through a systematic literature review and in-depth patients interviews. A list of 21 barriers and 21 expectations was identified. These were presented to 324 subjects with osteoporotic fractures, identified in a representative sample of the French population, in the form of best-worst scaling questionnaires. Patients rated the relative importance of the attributes, and arithmetic mean importance scores were calculated and ranked. A Bayesian hierarchical model was also performed to generate a relative importance score. Latent class analysis was performed to identify potential subgroups of patients with different response profiles. Results A total of 7 barriers were rated as the most important, relating to awareness of osteoporosis and coordination of care. The highest-ranked barrier, “my fracture is not related to osteoporosis,” was significantly more important than all the others (mean importance score 0.45; 95% confidence interval 0.33-0.56). A similar ranking of attributes was obtained with both the arithmetic and the Bayesian approach. For expectations, no clear hierarchy of attributes was identified. Latent class analysis discriminated 3 classes of respondents with significant differences in response profiles (the educated environmentalists, the unaware, and the victims of the system). Conclusions Better quality of care of osteoporosis and effective secondary fracture prevention will require improvements in patient education, training of healthcare professionals, and coordination of care.
- Subjects :
- Gerontology
[SDV]Life Sciences [q-bio]
Osteoporosis
Population
030209 endocrinology & metabolism
[SHS]Humanities and Social Sciences
03 medical and health sciences
0302 clinical medicine
Surveys and Questionnaires
medicine
Humans
Bayesian hierarchical modeling
Osteoporotic fracture
030212 general & internal medicine
education
ComputingMilieux_MISCELLANEOUS
Motivation
education.field_of_study
[SHS.SOCIO]Humanities and Social Sciences/Sociology
business.industry
Health Policy
Public Health, Environmental and Occupational Health
Bayes Theorem
medicine.disease
Confidence interval
Latent class model
3. Good health
Systematic review
Ranking
business
Osteoporotic Fractures
Subjects
Details
- Language :
- English
- ISSN :
- 10983015 and 15244733
- Database :
- OpenAIRE
- Journal :
- Value in Health, Value in Health, Elsevier, 2021, ⟨10.1016/j.jval.2021.10.005⟩
- Accession number :
- edsair.doi.dedup.....eb080cb3b574d3fb1c29b5d1333229e8