Patient-reported barriers for not receiving fracture risk assessment or a prescription for pharmacotherapy within 6 months of screening by program phase (role of the coordinator shifts between Phase I and Phase II to include ordering BMD testing and communicating report of results to primary care). Values are n (%) unless otherwise specified.
| Patient-reported Barriers | Phase I: Education and Communication to PCP, n = 3997 | Phase II: Education, BMD Testing and Risk Assessment, and Communication to PCP | |
|---|---|---|---|
| Confirmed Participants, n = 569 | Eligible Nonparticipants, n = 794 | ||
| Did not see PCP about bone health at followup (rate is of those in this branch of program) | n = 708 (18) | n = 7 (1) | n = 158 (20) |
| Did not want to followup with physician | 187 (26.4) | < 5 | 41 (26.0) |
| Other health issues took precedence | 150 (21.2) | – | 23 (14.6) |
| Did not have time to see physician | 75 (10.6) | – | 22 (13.9) |
| Saw physician but did not discuss bone health/osteoporosis | 56 (7.9) | < 5 | 29 (18.4) |
| Appointment is coming up | 53 (7.5) | – | 10 (6.3) |
| Missed/forgot to book appointment | 27 (3.8) | – | 6 (3.8) |
| Unable to obtain PCP | 18 (2.5) | – | < 5 |
| Waiting to get appointment with physician/specialist | 12 (1.7) | – | < 5 |
| Other | 108 (15.3) | – | 15 (9.5) |
| Did not have a BMD test (rate is of all those in this branch of program) a | n = 661 (16.5) | n = 19 (3) | n = 185 (23.2) |
| Physician said patient did not need BMD test | 259 (39.2) | – | 65 (35.1) |
| Not recommended to have a BMD test because it has been done in past year (not indicated by guidelines) | 65 (9.8) | – | 28 (15.1) |
| Physician prescribed treatment without referral for BMD test | 64 (9.7) | – | 18 (9.7) |
| Other health issues took precedence | 56 (8.5) | 7 (36.8) | 14 (7.6) |
| Did not want to have BMD test | 41 (6.2) | 5 (26.3) | 7 (3.8) |
| Referred for a BMD test but has not yet scheduled an appointment | 36 (5.5) | < 5 | 9 (4.9) |
| Saw physician but did not discuss a BMD test | 32 (4.8) | < 5 | 14 (7.6) |
| Appointment is coming up | 23 (3.5) | – | 6 (3.2) |
| Other | 73 (11.0) | < 5 | 13 (7.0) |
| Prescribed medication was not being taken at followup (rate is of those prescribed medication) b | n = 134 (16.3) | n = 20 (9.8) | n = 21 (13.5) |
| Have not started medications or filled prescription yet | 42 (31.3) | 5 (25.0) | < 5 |
| Concerned about side effects but has not experienced them | 33 (24.6) | < 5 | < 5 |
| Have experienced side effects | 18 (13.4) | 7 (35.0) | 8 (38.1) |
| Other (e.g., cost, forgot to fill/renew prescription, refused to take, taking too many medications already) | 45 (33.6) | 7 (35.0) | 9 (42.9) |