A call for a fragility fractures centralised care pathway in Australia: A qualitative study among healthcare professionals

An Ho, Ann Robinson, Susan Brandis*

*Corresponding author for this work

Research output: Contribution to journalArticleResearchpeer-review

1 Citation (Scopus)


Osteoporosis remains unrecognised and untreated in patients with fragility fractures, which leads to higher mortality rate, increasing social and economic burden related to subsequent fractures. However, the presence of a coordinated and centralised care pathway for fragility fractures is lacking. The purpose of this paper is to explore the perspectives of health professionals regarding the current management for distal radius fragility fractures, how the care pathway can be optimised for patients with distal radius fragility fractures, and where occupational therapists can contribute.

This paper uses a phenomenological qualitative methodology with selective and purposeful sampling, consisting of health professionals from an Australian Health Service (N  =  20). Online surveys (N  =  18) and semi-structured interviews (N  =  16) were conducted. Content analysis was applied, followed by thematic analysis to identify emerging themes.

Eighteen health professionals participated in the presurvey of which 16 were interviewed. The identified themes presented the gaps in the knowledge and awareness of fragility fractures and osteoporosis, as well as a lack of coordination in the system, especially the referral process.

These findings are consistent with previous studies which also highlight the importance of communication, coordination, collaboration, cooperation, responsibility, and a population approach in achieving integrated care. This study contributes to the global call for a centralised and coordinated care pathway for fragility fractures. The study explores personal experiences of health professionals who expressed interest in fragility fractures management. Exploring patients’ perspectives on their journey of fragility fractures management provides opportunity for future research.
Original languageEnglish
JournalInternational Journal of Care Coordination
Early online date7 Aug 2023
Publication statusE-pub ahead of print - 7 Aug 2023


Dive into the research topics of 'A call for a fragility fractures centralised care pathway in Australia: A qualitative study among healthcare professionals'. Together they form a unique fingerprint.

Cite this