A study in Malaysia emphasized the necessity of a FLS to enhance secondary fracture prevention and identified several challenges, including the lack of confidence among nurses in taking up the role of FLS coordinator, the need to implement the service within the constraints of limited resources, and the lack of prescribing rights for antiosteoporosis medications among primary care physicians.
A Fracture Liaison Service (FLS) is a coordinator-based model developed to reduce subsequent fractures and mortality by increasing the diagnosis of osteoporosis and improving its treatment. This qualitative study aimed to explore the views of healthcare professionals regarding the barriers and facilitators for the implementation of a FLS in Malaysia. Four groups of participants were recruited: doctors (geriatricians, surgeons, endocrinologists etc., nurses, pharmacists and policymakers.
The results of the study indicated that:
According to the authors: ‘All participants believed that there was a need for a FLS to improve the delivery of secondary fracture prevention. Addressing concerns such as lack of confidence among nurses and lack of awareness can help improve FLS sustainability’.
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