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Logics and Logistics of Community Intervention Against Osteoporosis: An Evidence Basis

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Abstract

Under designations like small areas action research and intervention, directed ‘ground-up’ health promotion and prevention in the population form an important part of the ongoing medical systems development. There is recent evidence of the success of community intervention against cardiovascular disease. In osteoporosis, however, there is still a lack of conclusive data on both the logics and logistics of such an approach. Since 1988, a county health policy program has been formulated and implemented in Östergötland, Sweden, following the principles and guidelines of the WHO HFA 2000 declaration. Vadstena (n ≍ 7,600) was chosen for a local and generalizable osteoporosis prevention project mediated by the primary care organization by means of health promotion and education in the community. In the present report we emphasize that community intervention is an important new advancement of the medical systems, where the basic research questions include operational and management aspects as equally vital and measurable requisites and results as other performance and outcome variables. We found that a community intervention trial against osteoporosis is both motivated and feasible and in this report wish to provide evidence on these crucial issues of logics and logistics.

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Authors and Affiliations

  1. Vadstena Primary Health Care Center, Motalagatan 18, S-592 32, Vadstena, Sweden

    John Waller & Carina Blomberg

  2. Department of General Practice and Primary Care, Faculty of Health Sciences, S-581 85, Linköping

    John Waller, Mats Foldevi & Erik Trell

  3. Unit of Research and Development, Vårdcentralen, Smålandsvägen 24, S-595 30, Mjölby

    John Waller, Marianne Angbratt, Ann-Charlotte Kronhed & Margareta Möller

  4. Department of Community and Environmental Medicine, University Hospital, Linköping, Sweden

    Lasse Larsson & Owe Löfman

  5. Department of Internal Medicine, University Hospital, S-581 85, Linköping, Sweden

    Göran Toss

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  1. John Waller
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  2. Marianne Angbratt
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Waller, J., Angbratt, M., Blomberg, C. et al. Logics and Logistics of Community Intervention Against Osteoporosis: An Evidence Basis. Journal of Medical Systems 21, 33–47 (1997). https://doi.org/10.1023/A:1022839308196

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