Quality of Life in Postmenopausal Women With Osteoporosis

The researchers will evaluate the effectiveness of a complex intervention composed of multiple actions targeting primary care healthcare workers and postmenopausal women with osteoporosis by means of a quasi-experimental design in the form of a cluster-controlled trial with clustering at family physician level. The study has 2 study arms. In one arm, osteoporosis stakeholders receive a complex intervention (Integrated Osteoporosis Care(IOC)). The second study arm serves as control and receives care as usual. The complex intervention is composed of * education and provision of educational material for all stakeholders in primary osteoporosis care (patients, family physicians, nurse-educators, physiotherapists, dietitians, pharmacists and if present patient's informal caregivers) * patient self-management support by primary care osteoporosis stakeholders * the construction of a primary care osteoporosis treatment guideline and care pathway Effectiveness will be measured by questionnaires and data from the (Electronic Medical Record)EMR and IMA-database, in patients and family physicians. Effects measured in family physicians are: * Identification failure rate * Percentage of family physicians correctly implementing the osteoporosis treatment guideline * Proportion of patients treated correctly as stated in the osteoporosis treatment guideline * Proportion of family physicians correctly registering osteoporosis related information in the EMR * Intensity of collaborative practices * Knowledge of osteoporosis management and treatment Effects measured in patients are: * Medication Possession Ratio(MPR) (Primary outcome) * Health literacy * Self-management efficacy * Self-reported treatment adherence * Self-reported nutritional intake * Intensity of integrated osteoporosis care * Patient satisfaction with integrated osteoporosis care * HRQoL * Functional independence (Activities of Daily Living - ADL) * Patient resource use The study elapse time is 18 months. Partici