After the introduction of the management fee, there was an immediate increase in the proportion of secondary fracture prevention (IRR: 1.890, 95% CI: 1.761–2.029) and an increasing trend in the monthly rate of change (IRR: 1.050, 95% CI: 1.044–1.056).
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Impact of the guidance on fracture Liaison Services and the introduction of a new fee for secondary fracture prevention in Japan: Implementation of secondary fracture prevention during hospitalization for fragility fractures.
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