Opinions and experiences in general practice on osteoporosis prevention, diagnosis and management

We determined to survey the general practice population regarding their att itudes to and knowledge of osteoporosis as a baseline prior to publication of national guidelines for the management of osteoporosis. All 2515 general practitioners registered in the 10 Health Authorities of the North Thames region, London, UK were surveyed by a postal questionnaire. Responses relat ing to epidemiology, public health and education on osteoporosis were analy zed. The overall response was 1153 (46%). General practitioners who respond ed were younger, predominantly female and in group practice. There is consi derable awareness of the importance of preventing osteoporosis. General pra ctitioners are active in identifying groups at risk, particularly those who are aged 40 years and older. A prevention strategy for osteoporosis is vie wed as effective. However, two thirds of general practitioners remain uncon vinced about the efficacy of drug therapy. Education on osteoporosis is con sidered inadequate. General practitioners would welcome further information on management issues and access to osteoporosis services. In conclusion, e ducational initiatives will be important both at undergraduate and postgrad uate levels to increase awareness and knowledge of osteoporosis. General pr actitioners are aware of the public health impact of this condition and exp ress a preference for educational material of direct relevance to the care of their patients. Therefore better cooperation between primary and seconda ry care should lead to ways of breaking down barriers to change in clinical practice and promoting fully integrated care of patients with osteoporosis .