{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T13:23:27Z","timestamp":1774617807906,"version":"3.50.1"},"reference-count":37,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T00:00:00Z","timestamp":1769644800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T00:00:00Z","timestamp":1769644800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100021812","name":"Sydney Partnership for Health, Education, Research and Enterprise","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100021812","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australas J Ageing"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate the implementation of the Australian Hip Fracture Clinical Care Standard for patients with low\u2010trauma hip fracture. This study aimed to (1) document facility\u2010level adoption, (2) explore healthcare providers' perspectives on Standard delivery and (3) describe patient engagement with post\u2010acute discharge care recommendations, including outcomes for culturally and linguistically diverse (CALD) and limited English proficiency subgroups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A mixed\u2010methods approach was undertaken. Community\u2010dwelling adults who underwent surgical treatment for low\u2010trauma hip fractures at a tertiary hospital over 1\u2009year were included. Facility\u2010level adoption was determined by auditing medical records against the Clinical Care Standard. Patient engagement with post\u2010discharge recommendations was assessed by structured telephone follow\u2010up at 16\u2009weeks and English proficiency. An electronic survey explored healthcare providers' perspectives of Standard implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 189 patients admitted, 136 (72%) were eligible; 127 completed follow\u2010up assessment. The cohort was predominantly female (66%), with a mean age of 79\u2009years and 80% migrants. Most components of the Care Standard were implemented with high fidelity (&gt;\u200990% for four of seven indicators). Acute care data indicated effective implementation of most components of the Care Standard, supported by responses from 28 healthcare providers (28% response rate). However, healthcare providers highlighted the need for enhanced interprofessional training and resourcing for refracture prevention. Patient engagement with refracture prevention recommendations was low (44% participated in strength exercises, 26% in balance, 11% sought dietary advice and 44% consumed calcium supplementation), with no significant differences by CALD status or English proficiency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Despite high facility\u2010level implementation of the Care Standard, patient adoption of post\u2010discharge refracture prevention strategies remains suboptimal. Bridging this gap requires multi\u2010faceted, consumer\u2010centred solutions and improved interdisciplinary training to enhance outcomes and reduce refracture risk, particularly in diverse and multicultural populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajag.70124","type":"journal-article","created":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T07:25:51Z","timestamp":1769757951000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Adoption of Hip Fracture Care Standards: A Mixed\u2010Methods Analysis of Patient and Healthcare Provider Perspectives"],"prefix":"10.1111","volume":"45","author":[{"given":"Bernadette","family":"Brady","sequence":"first","affiliation":[{"name":"South Western Sydney Local Health District, Liverpool  New South Wales Australia"},{"name":"Faculty of Health Western Sydney University  Penrith New South Wales Australia"},{"name":"Ingham Institute for Applied 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