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How are family physicians managing osteoporosis? Qualitative study of their experiences and educational needs
Susan B Jaglal1, June Carroll, Gillian Hawker
1Ontario Ministry of Health and Long-Term Care. susan.jaglal@utoronto.ca
Objective:
To explore family physicians' experiences and perceptions of osteoporosis and to identify their educational needs in this area.
Design:
Qualitative study using focus groups.
Setting:
Four Ontario sites: one each in Thunder Bay and Timmins, and two in Toronto, chosen to represent a range of practice sizes, populations, locations, and use of bone densitometry.
Participants:
Thirty-two FPs participated in four focus groups. Physicians were identified by investigators or local contacts to provide maximum variation sampling.
Method:
Focus groups using a semistructured interview guide were audiotaped and transcribed. The constant comparative method of data analysis was used to identify key words and concepts until saturation of themes was reached.
Main Findings:
Family physicians order bone densitometry and try to manage osteoporosis appropriately, but lack a rationale for testing and are confused about management. Participants' main concern was clinical management, followed by disease prevention and their educational needs.
Conclusion:
Family physicians are confused about how to manage osteoporosis. To reduce the burden of illness due to osteoporosis, educational interventions should be tailored to family physicians' needs.