Background The fact that osteoporosis is a chronic disease and that the evolution of the doctor – patient’s relationship goes towards a stronger participation of the patients to therapeutic décisions, underlines the patient educational interest, with concrete objectives of information, raising awareness and therapeutic education(1, 2).
Objectives Specify the implication and the knowledge of french rheumatologists in the field of their patients éducation (PE) in osteoporosis.
Methods Descriptive epidemiological survey by answer to a questionnaire, in June, 2011, with 99 rheumatologists, mean 44-year-old and practicing mainly at hospital (60%).
The patients treated for osteoporosis are mainly between 50 and 75 years old (59%) and essentially women (83%).
Few rheumatologists (17%) indicate having benefited from a specific patients educational formation.
For rheumatologists, PE has to concern as well all the osteoporotics patients (90%) that their close relations (68%).
For 70% of them, PE in osteoporosis is justified by a lack of knowledge about the disease, or about treatments of the disease.
PE must be an integral part of any consultation (85%), but does not necessarily have to take place in a specific structured frame (61%).
PE’s objectives are multiple: therapeutic compliance (92%), fractures prevention (86%), physical activity (85%), information about osteoporosis (85%).
75% of the rhumatologists practise PE individually, by informing their patients orally (99%), or by giving them written supports (69%). They show particular interest in estimating the arrangement of patients residence when patients are isolated (73%), confiding this evaluation mainly to the families (80%).
Among the limits to PE, they appoint the lack of time they can dedicate in their patients (56%), as well as the distrust of the patients to treatments (53%).
Practitioners consider very important benefits brought by the PE on therapeutic compliance (77 mm on a 100 mm VAS), on doctor-patient relationship (75 mm), on prevention of falls (73 mm).
For 98% of the rheumatologists, the objectives of PE are the apprenticeship of a correct food intake, the information of patients about the disease, and the therapeutic compliance.
An essential objective is to give responsibilities the patients towards the fracture’s risk (97%) and to involve them more in its prévention strategies.
To improve compliance, rheumatologists insist on the quality of the communication in the doctor – patient relationship, as well as on the conviction of the patient of the interest of the treatment.
HAS. Patient education. Recommendations, june 2007 (french)
Law n° 2009-879, July 21, 2009 carrying reform of hospital and relative to the patients, to the health and to the territories (“HPST” law). (french)
Disclosure of Interest R.-L. Dreiser Grant/Research support from: Expanscience Labs, M. Guilaume: None Declared