Osteoporosis and premature ovarian insufficiency: geographic variation in clinicians’ and consumers’ knowledge gaps and barriers to care

Jones, Alicia; Goh, Maylyn; Langham, Robyn G; Boyle, Jacqueline; Milat, Frances; Ebeling, Peter R.; Teede, Helena; Vincent, Amanda

doi:10.1007/s11657-020-00713-8

Cited by 12 publications

(22 citation statements)

References 23 publications

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“…Provision of structured care delivery has been reported to be impeded by workforce challenges 12,15 with many primary and community care practices rarely being fully staffed. 19 Staff shortages are exacerbated by high and rapid staff turnover [17][18][19][20]24,25,27,28,30,31,34,[40][41][42]44 part-time 27 and fly-in-fly-out workers 41 as well as the changing workforce, which is characterised by temporary and rotational staff such as registrars. 34 The presence of internationally trained GPs has also been identified as a barrier to structured care delivery 34 as well as the lack of specialist support and access to specialists.…”

Section: Workforcementioning

confidence: 99%

“…34 The presence of internationally trained GPs has also been identified as a barrier to structured care delivery 34 as well as the lack of specialist support and access to specialists. 17,20,21,30,34,40,42,44 Jones et al 30 in their study involving 688 GPs, whereby geographic variation and its relationship to osteoporosis knowledge, management and barriers to care was investigated, identified a lack of available specialists and difficulty in accessing specialists to be key barriers to care delivery in remote areas. Further, in a study investigating the barriers and enablers to accessing health care services for Aboriginal people living in regional and remote Australia, it was found that general practice and community care staff may not be aware when specialists visit and therefore may not effectively utilise the specialist services when they are available.…”

Section: Workforcementioning

confidence: 99%

“…With workforce challenges comes the inadequacy and perceived instability of health services and service gaps. [14][15][16][17]21,22,29,30,32,36,39,40,43 For example, in a study of the barriers to effective mental health care for older people in a rural region of Australia, inadequacy of mental health services or services being at capacity was reported. 39 With services being at capacity due to workforce shortages, there are a lack of appointments, reduced service operating hours, long wait periods and reduced appointment flexibility.…”

Section: Servicesmentioning

confidence: 99%

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Barriers and enablers to structured care delivery in Australian rural primary care

Mullan

Armstrong²,

Job

2023

Australian J Rural Health

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Objective The primary aim of this study was to explore the barriers and enablers to structured care delivery in rural primary care, reflecting on Australian research findings. Design CINAHL and Scopus databases were searched in August 2021. Inclusion criteria included English language, full‐text studies, published since 2011, reporting on the barriers and enablers to the delivery of structured care within rural and remote primary care. Structured care was conceptualised as care that was organised, integrative and planned. Findings A total of 435 studies were screened. Thirty‐four met the inclusion criteria. Barriers to the provision of structured care related to workforce shortages, limited health care services and health care professional capacity, cultural safety and competency, limited resourcing, insufficient knowledge and education, geographical isolation, inadequate care coordination, unclear roles and responsibilities and poor health professional–patient relationships. Discussion Health care system and geographical barriers and enablers encountered in rural areas are complex and multidimensional. Identification of the specific challenges to structured care delivery highlights the need for a focussed review of workforce supply and distribution challenges as well as the investigation of system integration, leadership, governance and funding reform that would be required to support rural primary care.

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Section: Workforcementioning

confidence: 99%

Section: Workforcementioning

confidence: 99%

Section: Servicesmentioning

confidence: 99%

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Barriers and enablers to structured care delivery in Australian rural primary care

Mullan

Armstrong²,

Job

2023

Australian J Rural Health

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“…[ 13 ] A recent cross-sectional study in 2020, done on Australian women with premature ovarian insufficiency, found that women in rural areas had lower knowledge scores and were more likely to have family history of osteoporosis compared to women living in metropolitan areas. [ 14 ]…”

Section: Introductionmentioning

confidence: 99%

Assessment of osteoporosis knowledge among adult Saudi females attending the family medicine department at Security Forces Hospital, Riyadh, Saudi Arabia

Alqahtani

Alghamdi

2021

Journal of Family Medicine and Primary Care

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Background: Osteoporosis is a skeletal disorder characterized by loss of bone mineral density, deterioration of bone structure, bone fragility, and it is associated with high risk of fractures. The prevalence of osteoporosis among Saudis is estimated to be 34% in females and 30.7% in males. The aim of this study was to know the level of knowledge about osteoporosis among Saudi females at Security Forces Hospital, Riyadh, Saudi Arabia. Materials and Methods: This was a descriptive and analytical cross-sectional study conducted between January 2019 and January 2020. We used the osteoporosis knowledge assessment tool (OKAT) for data collection. The survey assessed the understanding of symptoms and fracture risk, risk factors, treatment availability and preventive factors for osteoporosis. Results: The overall knowledge of our 376 participants was good with a mean score of (66%). Participants had more knowledge about the symptoms and fracture risk and the preventive factors such as physical activity and diet compared to the other subscales of the OKAT. There was a significant difference between the knowledge of younger and older females (>40 yrs.), where younger females had lower scores on the OKAT. Conclusion: This study showed that knowledge about osteoporosis was good among females attending the family medicine clinics in Riyadh, Saudi Arabia. However, younger females were less knowledgeable, which means that more effort should be made to increase the awareness about osteoporosis especially among the younger females.

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“…Many global studies have been published to assess the levels of knowledge and awareness of osteoporosis among different populations.For instance, a previous study from Egypt reported that only a third of their elderly female population were aware that osteoporosis could be adequately managed (11).Another study from Australia showed that having a family history of osteoporosis and living in rural areas was associated with lower knowledge scores regarding osteoporosis (12).…”

Section: Introductionmentioning

confidence: 99%

Osteoporosis Awareness in Saudi Arabia: A Systematic Review of Cross-Sectional Studies

Abdullah¹,

Haddadi²,

Madkhali³

et al. 2021

JOHS

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Saudi investigations reported that the application of preventive approaches to limit the spread of osteoporosis is poor. This indicates the importance of nationwide investigations to stress the importance of the adequate implementation of preventive measures. A thorough electronic search of a wide range of databases was conducted to identify all the relevant cross-sectional studies reporting knowledge, awareness and practice among Saudi population, with no time limitations. A total of 25 prospective cross-sectional studies that were conducted in Saudi Arabia were included and were published between 2010 and 2021. Most of these studies were conducted in Riyadh, however, other regions such as Bisha, Qassim, Taif, Al-Hassa, Alahsa, Jazan, and nationwide can also be found in our included studies. The sample size was hugely variable and ranged between 43 and 1,830, with a total of 12,407 individuals. Among the included studies, 11 included female populations only, 3 included healthcare workers only, and the rest included mixed populations.Most of the included studies had good awareness levels regarding osteoporosis. Moreover, we also found that age, gender, education level, and socio-economic status are common factors that may impact the level of knowledge and awareness across the different studies, although some studies reported the non-significance of these variables.Further education campaigns are still needed to further enhance levels of awareness of other factors than the ones reported.

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Osteoporosis and premature ovarian insufficiency: geographic variation in clinicians’ and consumers’ knowledge gaps and barriers to care

Cited by 12 publications

References 23 publications

Barriers and enablers to structured care delivery in Australian rural primary care

Barriers and enablers to structured care delivery in Australian rural primary care

Assessment of osteoporosis knowledge among adult Saudi females attending the family medicine department at Security Forces Hospital, Riyadh, Saudi Arabia

Osteoporosis Awareness in Saudi Arabia: A Systematic Review of Cross-Sectional Studies

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