ArticleGeriatric orthopaedic surgery & rehabilitation2012
Barriers to implementation of an organized geriatric fracture program.
Article in Geriatric orthopaedic surgery & rehabilitation, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- [Geriatric fracture centers. Improved patient care and economic benefits].Der Unfallchirurg · 2016Pooled it
- Canadian Inpatient Orthogeriatric Models of Care: A Mixed Methods Survey of Facilitators and Barriers.Canadian geriatrics journal : CGJ · 2024Article
- Geriatric fracture program centering age-friendly care associated with lower length of stay and lower direct costs.Health services research · 2023Article
- Design and Evaluation of a Hospital-Based Educational Event on Fracture Care for Older Adult.Geriatric orthopaedic surgery & rehabilitation · 2021Article
- Predictive Modeling for Geriatric Hip Fracture Patients: Early Surgery and Delirium Have the Largest Influence on Length of Stay.The Journal of the American Academy of Orthopaedic Surgeons · 2019Article
- Fragility Fracture Care: An Urgent Need to Implement the Integrated Model of Geriatric Care.Annals of geriatric medicine and research · 2019Article
- Recommended care received by geriatric hip fracture patients: where are we now and where are we heading?Archives of orthopaedic and trauma surgery · 2018Article
- Geriatric fracture centers-improved patient care and economic benefits : English Version.Der Unfallchirurg · 2017Article
- Facilitators and barriers experienced by federal cross-sector partners during the implementation of a healthy eating campaign.Public health nutrition · 2017Article
- [Anesthesiological care of trauma patients in orthogeriatric co-management].Der Anaesthesist · 2017Review
- Geriatric hip fracture management: keys to providing a successful program.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2016Review
- [Anesthesiological care in orthogeriatric co-management. Perioperative treatment of geriatric trauma patients].Zeitschrift fur Gerontologie und Geriatrie · 2016Article
- Development and initial evaluation of a point-of-care educational app on medical topics in orthogeriatrics.Archives of orthopaedic and trauma surgery · 2016Article
- Editorial on "Comprehensive geriatric care for patients with hip fractures: a prospective, randomized, controlled trial" published in The Lancet on April 25(th), 2015.Annals of translational medicine · 2015Article
- The impact of a national clinician-led audit initiative on care and mortality after hip fracture in England: an external evaluation using time trends in non-audit data.Medical care · 2015Article
- Not the Last Word: Geriatric Hip Fracture Centers: The Time Has Come.Clinical orthopaedics and related research · 2015Article
- Treatment and prevention of postoperative complications in hip fracture patients: infections and delirium.Wiener medizinische Wochenschrift (1946) · 2013Review
- Analysis of the experience of the geriatric fracture program in two institutions in Colombia: a reproducible model?Colombia medica (Cali, Colombia)Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThere has been a recent increase in interest in implementing organized geriatric fracture programs for care of older adults with fragility fractures in order to improve both the quality and costs of care. Because such programs are relatively new, there are no standardized methods for implementation and no published descriptions of barriers to implementation. MATERIALS AND
methodsAn online survey tool was sent to 185 surgeons and physicians practicing in the United States, who are involved with geriatric fracture care. Sixty-eight responses were received and evaluated.
resultsBarriers identified included lack of medical and surgical leadership, need for a clinical case manager, lack of anesthesia department support, lack of hospital administration support, operating room time availability, and difficulty with cardiac clearance for surgery. Other issues important to implementation included quality improvement, cost reductions, cost to the hospital, infection prevention, readmission prevention, and dealing with competing interest groups and competing projects mandated by the government. Physicians and surgeons felt that a site visit to a functioning program was most important when considering implementing a hip fracture program.
conclusionsThis study provides useful insights into barriers to implementing an organized hip fracture program. The authors offer suggestions on ways to mitigate or overcome these barriers.
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