BACKGROUND: Ethnic disparities in care have been documented with a number of @entity85 including @entity170 . We suggest a systems approach for ensuring @entity170 care can minimize potential ethnic disparities in care. QUESTIONS/PURPOSES: We evaluated variations in @entity170 treatment by age, sex, and race/ethnicity by (1) measuring the rates of @entity1 after a @entity174 who had been evaluated by dual-energy xray absorptiometry and/or in whom antiosteoporosis treatment had been initiated and (2) determining the rates of @entity170 treatment in @entity1 who subsequently had a @entity173 . @entity1 AND METHODS: We implemented an integrated @entity170 prevention program in a large health plan. Continuous screening of electronic medical records identified @entity1 who met the criteria for screening for @entity170 , were diagnosed with @entity170 , or sustained a @entity174 . At-risk @entity1 were referred to care managers and providers to complete practice guidelines to close care gaps. Race/ethnicity was self-reported. Treatment rates after @entity174 or @entity170 treatment failures with later @entity173 were calculated. Data for the years 2008 to 2009 were stratified by age, sex, and race/ethnicity. RESULTS: @entity1 (92.1%) were treated more often than @entity1 (75.2%) after index @entity174 . The treatment rate after @entity174 was similar among race/ethnic groups in either sex ( @entity1 87.4%-93.4% and @entity1 69.3%-76.7%). Osteoporotic treatment before @entity173 was more likely in white @entity1 and @entity1 and Hispanic @entity1 than other race/ethnic and gender groups. CONCLUSIONS: Racial variation in @entity170 care after @entity174 in race/ethnic groups in this healthcare system was low when using the electronic medical record identifying care gaps, with continued reminders to @entity66 management care managers and providers until those care gaps were closed.

Minimizing disparities in XXXX care of minorities with an electronic medical record care plan.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'Women', 'PATIENTS', 'men'] @entity66 :: ('MESH:D004194', 'Disease') :: ['osteoporosis disease'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fragility fracture'] @entity170 :: ('MESH:D010024', 'Disease') :: ['osteoporosis'] @entity173 :: ('MESH:D006620', 'Disease') :: ['hip fracture'] @entity85 :: ('MESH:D009140', 'Disease') :: ['musculoskeletal disorders']
@entity170 :: (MESH:D010024,Disease) :: ['osteoporosis']
