Feasibility of an interprofessional collaborative osteoporosis screening programme in Malaysia

Abstract

Background: Population screening for osteoporosis using bone mineral density scan is not feasible in Malaysia as this test is costly. Hence, there is a need to develop a more efficient method to screen for osteoporosis.Objectives: To determine the feasibility of an interprofessional collaborative osteoporosis screening programme (IPC-OSP) Methods: Postmenopausal women aged ≥50 years, who had not been diagnosed with osteoporosis were recruited from a primary care clinic from June-August 2014. Patients were assessed for their osteoporosis risk and were counselled on prevention methods. Patients at risk were referred to the doctor with a recommendation for a bone mineral density (BMD) scan.Results: Fifty out of 55 patients were recruited [response rate=90.9%]. A total 26/50(52.0%) went for a BMD scan, none were osteoporotic, 17/50(34%) were osteopenic, 2/50(4.0%), were started on osteoporosis medications and 14/50(28%) modified their lifestyle to improve bone health or started on calcium supplements. Osteoporosis knowledge significantly increased from baseline to month two (46.3±21.4 vs 79.1±14.3,p<0.001). Patients had a satisfaction score of 89.8±12.4. Follow-up rates were 83.9% and 100% at months 1 (BMD appointment) and 2 (phone follow up), respectively. The intervention was successfully coordinated. Data entry was determined to be viable based on the researchers' experience. Conclusion:The IPC-OSP was found to be feasible in Malaysia. Impact on practice:-An interprofessional collaborative osteoporosis screening programme (IPC-OSP) was developed in Malaysia as it was not cost effective to perform population screening for osteoporosis using the bone mineral density scan -Interprofessional collaboration in osteoporosis screening is important as collaborative initiatives have demonstrated better patient outcomes, reduced cost and improved working relationships among health disciplines.-An interprofessional collaborative osteoporosis screening program by doctors and pharmacists was feasible when implemented in one primary care clinic in Malaysia.-However, the role of nurses was unclear as nurses may require additional training on how to identify women who may be at risk for osteoporosis.