The NYU XXXX Model of Care Experience.

@entity1 @entity79 @entity170 @entity174
INTRODUCTION: @entity1 who sustain a @entity174 are at increased risk for subsequent @entity174 . Despite the consequences of recurrent @entity174 ( @entity79 ) testing and treatment rates for @entity170 after a @entity174 remain low. The New York University (NYU) Langone @entity170 Model of Care was developed to identify @entity1 at increased risk for recurrent @entity174 and to reduce the rates of subsequent @entity174 through @entity1 and physician education. METHODS: @entity1 aged 50 years and older who had a @entity174 and received their care at NYU affiliated hospitals were contacted via mail after discharge. @entity1 were provided educational materials explaining decreased bone strength and its possible relationship to their @entity174 and were asked to complete a questionnaire. One year postfracture, @entity1 were sent follow-up questionnaires requesting their most recent @entity174 treatment and @entity79 information. Educational material was also provided to the treating orthopedic surgeons. RESULTS: Overall, 524 @entity1 were contacted and 210 (40%) enrolled. By the end of 24 months, 92 @entity1 completed their 1-year questionnaire (44% of the enrollees). Forty-two (46%) @entity1 had undergone new @entity79 testing and 37 (40%) were receiving antiresorptive medications, including 6 (6%) who had not been prescribed these medications before enrolling in the program. CONCLUSIONS: The @entity170 Model of Care is a simple and cost-effective educational program, which improved comprehensive @entity174 care in an actual clinical setting. @entity1 enrollment remains a challenge in implementing the program. Our program highlights difficulties in providing community-dwelling @entity1 with appropriate postfracture care. With increasing concern among the public regarding the use of bone strengthening medications and continued low postfracture treatment rates, educating @entity1 with high @entity174 risk is critical to reducing the rate of subsequent @entity174 . Our Model of Care Program demonstrates both the success and limitations of a postfracture educational approach using discharge diagnosis data to identify @entity1 with @entity174 .
