Related Experiment Video
Updated: Jun 18, 2025
Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
[Closing the Treatment Gap: Implementing a Fracture Liaison Service in Public Healthcare A Case Study from Chile]
Josefa Becker U1, NicolÁS Brkljaca P1, Ianiv Klaber R2
1Departamento de Medicina Interna, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Insights
Chile is implementing its first public Fracture Liaison Service (FLS) to improve osteoporosis treatment after fragility fractures. This initiative aims to reduce secondary fractures and enhance patient quality of life.
Area of Science:
- Public Health
- Osteoporosis Management
- Healthcare Services Research
Context:
- Osteoporotic fractures lead to significant morbidity and mortality globally.
- Chile faces a persistent treatment gap for post-fracture osteoporosis.
- Existing Fracture Liaison Services (FLS) are limited to the private sector.
Purpose:
- To implement the first FLS within Chile's public healthcare system.
- To establish a model for FLS in public hospitals using the Logic Model framework.
- To address the critical need for secondary fracture prevention in public health.
Summary:
- The study outlines the implementation of an FLS at Dra. Eloísa Díaz Clinical Hospital, focusing on human resources and a coordinating nurse.
- Key components identified include problem assessment, resource allocation, action planning, and goal setting.
- The Logic Model approach guides the development, considering external hospital factors and program collaboration.
Impact:
- This project addresses fragility fractures as a public health priority.
- Successful implementation is expected to inspire similar FLS initiatives in other Chilean public health centers.
- The FLS aims to close the osteoporosis treatment gap and improve patient outcomes and quality of life.
Introduction:
Osteoporotic fractures, especially of the hip and spine, entail significant morbidity and mortality, with a 50% increased risk of hip fracture following a prior fracture. Globally - and in Chile, a low rate of post-fracture osteoporosis treatment persists. The International Osteoporosis Foundation's "Capture the Fracture" initiative advocates optimal practices, including Fracture Liaison Services (FLS); however, in Chile, there are only two FLS, both in the private healthcare system.
Objective:
This study aims to implement the first FLS in the public domain, specifically at the Dra. Eloísa Díaz Clinical Hospital, at Santiago. The methodology is based on the Logic Model, emphasizing the importance of human resources, especially a coordinating nurse.
Results:
The findings identify the problem, necessary resources, key actions, and short, medium, and long-term goals. External factors such as the hospital environment and collaboration with existing programs are considered. A graphical representation of the Logic Model is presented, along with proposed evaluation indicators.
Discussion:
Addressing fragility fractures as a public health issue is pertinent, and hospital authorities' acceptance of our project for implementation is highlighted. This initiative is anticipated to inspire other public health centers in Chile to implement similar services, contributing to closing the treatment gap and enhancing patients' quality of life.
More Related Videos
07:35Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
Published on: April 11, 2012
06:59Fracture Apparatus Design and Protocol Optimization for Closed-stabilized Fractures in Rodents
Published on: August 14, 2018
Related Concept Videos
01:27Fractures: Bone Repair
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
01:26Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
01:17Healthcare Agencies II
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
01:15Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
01:30Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
01:18Introduction To Health Care Delivery System
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...