The Santa Maria University Hospital in Lisbon is a public hospital serving a population of about 350.000 patients. The Osteoporosis Outpatient Clinic was founded in 2008 as a multidisciplinary clinic by Mário Mascarenhas and is now coordinated by Ana Paula Barbosa, both endocrinologists. It includes Endocrinology, Orthopedics, Physical Rehabilitation, Nutrition and Psychology.

The Fracture Liaison Services (FLS) at the National Taiwan University Hospital Main Hospital (MH) and Beihu Branch (BB) in Taiwan has been specifically designed to follow the 13 Capture the Fracture best practice standards. Two dedicated coordinators proactively identify, evaluate, and follow cases. Features include:

The Fall and Fracture PreventionService (FFPS) is provided as an outpatient service by the Orthogeriatri Unit - Geriatric Department. The Service takes care of the following type of patients:

- hip fracture patients discharged by the Trauma ward, within 40 days from surgery and using a multidisciplinary approach; 

- inpatients with vertebral or minor fractures or at high risk for fractures referred by specialistic wards of the hospital using consultation approach;

- community-dwelling people at risk for falls and fractures are referred by GPs.

“A small fraction of patients who are at critical need of a treatment for osteoporosis receive an appropriate management. Implementing a Fracture Liaison Service helps to identify such patients and to provide them with an integrated care that will eventually reduce their fracture risk, improve their quality of life and decrease health resources utilization. Fracture Liaison Service helps filling the treatment gap of osteoporosis and subsequently, corresponds to a clinical, social, economic and ethical strategy.”