Clinical audit of health promotion of vitamin D in one general practice

Asia Pacific Family Medicine

Marjan Kljakovic¹  Cathy Davey³  Rashmi Sharma²  Divya Sharma² 

[1] Academic Unit of General Practice in the School of General Practice, Rural and Indigenous Health, at the Australian National University Medical School, PO Box 11 Woden, ACT 2606 Canberra, Australia

[2] General practitioner at Isabella Plains Medical Centre, 9 Arakoon Crescent, Isabella Plains, ACT 2905 Canberra, Australia

[3] Practice nurse at Isabella Plains Medical Centre, 9 Arakoon Crescent Isabella Plains, ACT 2905 Canberra, Australia

关键词: Clinical audit;    General practice;    Health promotion;    Vitamin D;   

Others  :  790598
DOI  :  10.1186/1447-056X-11-3

 received in 2012-01-19, accepted in 2012-04-02,  发布年份 2012

【 摘 要 】

Background

The clinical audit of vitamin D health promotion in one Australian general practice was undertaken by measuring health service use and serum 25-hydroxyvitamin D levels in 995 patients aged 45 to 49 years.

Findings

Over 3 years, 486 (51%) patients had a Medicare funded Health Assessment. More women (54%) were assessed than men (46%) p = 0.010. Mean 25-OHD was higher for men (70.0 nmol/l) than women (60.3 nmol/l) p < 0.001. More patients had their weight measured (50%) than 25-OHD tested (28%).

Among 266 patients who had a 25-OHD test, 68 (26%) had normal levels 80+ nmol/l, 109 (41%) were borderline 51-79 nmol/l, and 89 (33%) were low < 51 nmol/l. Mean 25-OHD was higher in summer (73.7 nmol/l) than winter (54.7 nmol/l) p < 0.001. Sending uninvited written information about 25-OHD had no effect on patients' subsequent attendance.

Conclusions

Health promotion information about vitamin D was provided to 50% of a targeted group of patients over a one-year period. Provision of this information had no effect on the uptake rates of an invitation to attend for a general health assessment.

【 授权许可】

   
2012 Kljakovic et al; licensee BioMed Central Ltd.

【 参考文献 】

• [1]The Royal Australian College of General Practitioners: Guidelines for preventive activities in general practice (7th Edition). Melbourne: The Royal Australian College of General Practitioners; 2009.
• [2]Cancer Council: Vitamin D and sun exposure. Cancer Council Australia: Sydney; 2008.
• [3]National Health and Medical Research Council: National Statement on Ethical Conduct in Human Research. Commonwealth of Australia: Canberra; 2007.
• [4]Morris HA, Morrison GW, Burr M, Thomas DW, Nordin BE: Vitamin D and femoral neck fractures in elderly South Australian women. Med J Aust 1984, 140(9):519-21.
• [5]Vanlint SJ, Morris HA, Newbury JW, Crockett AJ: Vitamin D insufficiency in Aboriginal Australians. Med J Aust 2011, 194(3):131-4.