四川省骨质疏松症诊疗质量及考核标准调查OA北大核心CSTPCD

Objective To investigate the baseline and post-intervention osteoporosis diagnosis and treatment quality in departments across different levels of hospitals in Sichuan Province to understand the status of osteoporosis diag-nosis and treatment and the effect of intervention as well as to set quality control recommended standard for various depart-ments in hospitals at all levels.Methods West China Hospital,Sichuan University,Chengdu Fifth People's Hospital,The First People's Hospital of Longquanyi District,Sichuan Electric Power Hospital were selected to represent tertiary Grade-A,secondary Grade-A,and community hospitals,respectively.A self-designed osteoporosis questionnaire and medical records were utilized.Between 2015 and 2018,a phased approach involving pre-survey,hospital intervention,survey,hospital intervention,and re-survey was conducted across various departments in different levels of hospitals.The collected data were subjected to comprehensive analysis.Results A total of 5 773 questionnaires and medical record in-quiries were completed.The baseline bone mineral density screening rates in hospitals were around 10%,with osteoporosis diagnosis rates notably surpassing treatment rates.Referral and follow-up rates for osteoporosis patients were much higher in secondary hospitals and community hospitals than to tertiary hospitals.Post-hospital intervention,there were evident im-provements in bone mineral density screening rates,osteoporosis diagnosis rates and treatment rates across all hospitals,reflecting enhanced osteoporosis diagnosis and treatment quality.However,the significant gap between diagnosis and treat-ment persisted.Based on these findings,assessment criteria for osteoporosis diagnosis and treatment quality indicators were formulated for hospitals and relevant departments.Conclusion The current status of osteoporosis diagnosis and treatment is suboptimal,characterized by low screening,diagnosis and treatment rates.However,the medical quality of osteoporosis is manageable.By implementing and adhering to quantifiable assessment indicators for osteoporosis diagnosis and treatment quality control,it is possible to improve osteoporosis diagnosis and treatment quality.