Cultivating across "pockets of excellence": challenges to sustaining efforts to improve osteoporosis care.
Aaron T SeamanMelissa J A SteffenJennifer M Van TiemShylo WardynXiomara SantanaKarla L MillerSamantha L SolimeoPublished in: Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA (2021)
The multiple, multi-level barriers to bone health care affect both care delivery processes and sustainment of initiatives to improve those processes. Barriers to care delivery, while tempered by intervention, are entangled and persist alongside sustainment challenges. These challenges require relationship- and infrastructure-building support.