Contributions of a Scoping Review to the Knowledge Base of a Clinical Decision Support System to Improve Patient Access to Bone Health Medications in the USA
Poster Number: P88
Presentation Time: 05:00 PM - 06:30 PM
Abstract Keywords: Chronic Care Management, Clinical Decision Support, Delivering Health Information and Knowledge to the Public, Education and Training, Qualitative Methods, Patient Engagement and Preferences, Clinical Guidelines, Aging in Place
Primary Track: Foundations
Programmatic Theme: Clinical Research Informatics
INTRODUCTION: Osteoporosis, characterized by reduced bone mineral density, affects 17.7% of individuals aged 65 and above in the United States, posing a risk of lower limb fractures and impacting patients' function and quality of life. Lack of information on bone health medications hinders its proper clinical use, so a scoping review was conducted to identify evidence to be incorporated in a Clinical Decision Support System (CDSS). METHODS: The research question `Which are the barriers and facilitators (Concept) that influence the access of aged 65 years old and older patients with osteoporosis with a previous fracture (Population) to bone health medications(Context)?` guided a systematic search using controlled vocabulary and related key words was conducted in OVID Medline, Embase, Web of Science, and CINAHL databases for relevant studies published between 2014 and 2023 in the USA. Thematic analysis was applied to data retrieved from studies. RESULTS: Out of 2143 records, 32 studies met inclusion criteria. Categorized into five key categories that highlight factors that will be incorporated in the CDSS: Clinician Training, Medication Management, Patient Education, Economic Issues, Patient Characteristics, and Side Effects. Barriers and facilitators related to initiation, adherence, persistence, patient preferences, and clinician views were explored. DISCUSSION AND CONCLUSIONS: The scoping review revealed essential factors influencing access to bone health medication that will be integrated into a CDSS aimed at long-term care rehabilitation and primary care, promoting evidence-based practices and raising awareness among all stakeholders involved in bone health care.
Speaker(s):
PATRICIA C DYKES, PhD, MA, RN
Brigham and Women's Hospital
Poster Number: P88
Presentation Time: 05:00 PM - 06:30 PM
Abstract Keywords: Chronic Care Management, Clinical Decision Support, Delivering Health Information and Knowledge to the Public, Education and Training, Qualitative Methods, Patient Engagement and Preferences, Clinical Guidelines, Aging in Place
Primary Track: Foundations
Programmatic Theme: Clinical Research Informatics
INTRODUCTION: Osteoporosis, characterized by reduced bone mineral density, affects 17.7% of individuals aged 65 and above in the United States, posing a risk of lower limb fractures and impacting patients' function and quality of life. Lack of information on bone health medications hinders its proper clinical use, so a scoping review was conducted to identify evidence to be incorporated in a Clinical Decision Support System (CDSS). METHODS: The research question `Which are the barriers and facilitators (Concept) that influence the access of aged 65 years old and older patients with osteoporosis with a previous fracture (Population) to bone health medications(Context)?` guided a systematic search using controlled vocabulary and related key words was conducted in OVID Medline, Embase, Web of Science, and CINAHL databases for relevant studies published between 2014 and 2023 in the USA. Thematic analysis was applied to data retrieved from studies. RESULTS: Out of 2143 records, 32 studies met inclusion criteria. Categorized into five key categories that highlight factors that will be incorporated in the CDSS: Clinician Training, Medication Management, Patient Education, Economic Issues, Patient Characteristics, and Side Effects. Barriers and facilitators related to initiation, adherence, persistence, patient preferences, and clinician views were explored. DISCUSSION AND CONCLUSIONS: The scoping review revealed essential factors influencing access to bone health medication that will be integrated into a CDSS aimed at long-term care rehabilitation and primary care, promoting evidence-based practices and raising awareness among all stakeholders involved in bone health care.
Speaker(s):
PATRICIA C DYKES, PhD, MA, RN
Brigham and Women's Hospital
Contributions of a Scoping Review to the Knowledge Base of a Clinical Decision Support System to Improve Patient Access to Bone Health Medications in the USA
Category
Poster - Regular
Description
Date: Monday (11/11)
Time: 05:00 PM to 06:30 PM
Room: Grand Ballroom (Posters)
Time: 05:00 PM to 06:30 PM
Room: Grand Ballroom (Posters)