Community-based Standardized Management Algorithm of Primary Osteoporosis

doi:10.12114/j.issn.1007-9572.2019.00.108

Abstract

Abstract: In order to standardize management of primary osteoporosis in the community，improve the capability of early screening，diagnose，treatment and health management，a community-based standardized management algorithm of primary osteoporosis is formulated by the Chinese Medical Doctor Association （CMDA）'s General Practitioners Sub-association，through a discussion of domestic experts based on the domestic and international latest evidence-based medical evidence，the condition of domestic community health service as well as protocols and guidelines associated with the prevention and treatment of osteoporosis.This management algorithm includes 4 parts，screening，diagnose，management （health records establishment，life-style guidance，health education，the application of bone health basic supplements，medication，fall prevention，follow-up） and referral，design the management flow diagram，standardize the contents and process of management.The release of this management algorithm is of great significance to improve the diagnosis and treatment level and strength the prevention and control of osteoporosis in China.

Key words: Osteoporosis, Community health services, Standardized management

摘要： 为规范原发性骨质疏松症的社区管理，提高早期筛查、规范诊治、健康管理水平，中国医师协会全科医师分会于2018年组织国内有关专家，根据循证医学证据、我国社区卫生服务现状、骨质疏松症防治相关方案及指南等，制订了《原发性骨质疏松症社区规范化管理方案》。本方案主要包含骨质疏松症筛查、诊断、管理（建立健康档案、生活方式指导、系统健康教育、骨健康基本补充剂的应用、药物治疗、跌倒的预防、随访）、转诊四部分内容，制定社区规范化管理流程图，规范管理内涵及流程。本方案的发布对提高我国社区骨质疏松症的防治水平有重要意义。

关键词: 骨质疏松症, 社区卫生服务, 规范化管理

Chinese Medical Doctor Association （CMDA）'s General Practitioners Sub-association. Community-based Standardized Management Algorithm of Primary Osteoporosis[J]. Chinese General Practice, 2019, 22(11): 1251-1257. DOI: 10.12114/j.issn.1007-9572.2019.00.108.
中国医师协会全科医师分会. 原发性骨质疏松症社区规范化管理方案[J]. 中国全科医学, 2019, 22(11): 1251-1257. DOI: 10.12114/j.issn.1007-9572.2019.00.108.

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