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Table 2 Physician-reported barriers* to fracture risk assessment or application of the OC guidelines in LTC, grouped in rank order by major theme

From: Fracture risk assessment in long-term care:a survey of long-term care physicians

 

Rank

# of coded statements

Theme: Difficulty acquiring necessary information

1

35

  Lack of access to diagnostic testing

  

  Difficulty obtaining medical history

  

Theme: Resource constraints

2

30

  Time constraints

  

  Information-related issues

  

  Manpower/staff issues

  

  Financial constraints

  

Theme: Futility of fracture risk assessment

3

28

  Unproven cost-benefit effectiveness

  

  Polypharmacy

  

  Co-morbidities

  

  Lack of access to therapeutic tools

  

Theme: Other

4

7

  Resident or family cooperation

  

  Miscellaneous

  
  1. *100 statements from 59 respondents.