Comparison of different strategies of referral to a fall clinic: How to achieve an optimal casemix?

Schoon, Yvonne; Hoogsteen-Ossewaarde, M. E.; Scheffer, Alice C.; Rooij, F. J. M. Van; Rikkert, Marcel G M Olde; Rooij, Sophia E. de

doi:10.1007/s12603-011-0027-3

Cited by 8 publications

(2 citation statements)

References 33 publications

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“…The first multidisciplinary falls clinic was set up in Melbourne, Australia in 1988 2. Subsequently, the number of falls clinics has increased substantially since the late 1990s including Australia,1–4 USA,5–8 UK,9 France,10 Denmark,11 Spain,12 Hong Kong,13 Canada,14 Germany,15 and The Netherlands 16. In contrast, in Latin America the information related to falls clinics is scarce with reports only from Brazil and Colombia 17,18…”

Section: Introductionmentioning

confidence: 99%

“…In those guidelines, NICE suggested that specialist falls services should be operationally linked to bone health (osteoporosis) services and recommended that an osteoporosis risk assessment should be an essential element of a comprehensive falls assessment 21. Since the release of these guidelines, the number of falls clinics that integrates a bone health component has grown exponentially, particularly at university hospitals 13,14,16. However, standardizing these programs and making them efficient in different cultures and practices is still a challenge.…”

Section: Introductionmentioning

confidence: 99%

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Differing approaches to falls and fracture prevention between Australia and Colombia

Gómez¹,

Curcio²,

Suriyaarachchi³

et al. 2013

CIA

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Falls and fractures are major causes of morbidity and mortality in older people. More importantly, previous falls and/or fractures are the most important predictors of further events. Therefore, secondary prevention programs for falls and fractures are highly needed. However, the question is whether a secondary prevention model should focus on falls prevention alone or should be implemented in combination with fracture prevention. By comparing a falls prevention clinic in Manizales (Colombia) versus a falls and fracture prevention clinic in Sydney (Australia), the objective was to identify similarities and differences between these two programs and to propose an integrated model of care for secondary prevention of fall and fractures. A comparative study of services was performed using an internationally agreed taxonomy. Service provision was compared against benchmarks set by the National Institute for Health and Clinical Excellence (NICE) and previous reports in the literature. Comparison included organization, administration, client characteristics, and interventions. Several similarities and a number of differences that could be easily unified into a single model are reported here. Similarities included population, a multidisciplinary team, and a multifactorial assessment and intervention. Differences were eligibility criteria, a bone health assessment component, and the therapeutic interventions most commonly used at each site. In Australia, bone health assessment is reinforced whereas in Colombia dizziness assessment and management is pivotal. The authors propose that falls clinic services should be operationally linked to osteoporosis services such as a “falls and fracture prevention clinic,” which would facilitate a comprehensive intervention to prevent falls and fractures in older persons.

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