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An analysis of an open access general practitioner bone densitometry service
M F V Sim1, M Stone, A Johansen
1Bone Research Unit, Academic Department of Geriatric Medicine, Llandough Hospital, Cardiff, UK. victor.sim@cardiffandvale.wales.nhs.uk
International Journal of Clinical Practice
|May 1, 2004
Summary
General practitioners (GPs) can effectively use open access bone densitometry services for osteoporosis case finding. This service appropriately identifies osteoporosis and reduces referrals to specialist clinics.
Area of Science:
- Osteoporosis management
- General practice services
- Diagnostic imaging
Background:
- General practitioners (GPs) play a key role in osteoporosis diagnosis and management.
- An established open access bone densitometry service for GPs in Cardiff since 1993.
Purpose of the Study:
- To evaluate the effectiveness of the open access bone densitometry service.
- To assess the appropriateness of GP referrals for bone densitometry.
- To determine the service's impact on hospital outpatient referrals.
Main Methods:
- Retrospective analysis of 560 patient referrals over 12 months.
- Inclusion of data from 154 referring GPs.
- Assessment of referral appropriateness against clinical criteria.
Main Results:
- 41% of patients received a clinical diagnosis of osteoporosis.
- 84% of referrals met established clinical referral criteria.
- 85% of GPs indicated the service prevented hospital outpatient referrals.
- The service demonstrated appropriate utilization and reduced specialist referrals.
Conclusions:
- The open access bone densitometry service is effective for opportunistic osteoporosis case finding by GPs.
- The service ensures appropriate test utilization and reduces unnecessary specialist consultations.
- This model supports efficient osteoporosis management within primary care settings.