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.

St Vincent’s University Hospital Fracture Liaison Service

Directed by lead clinician Professor Malachi McKenna, the St Vincent’s Fracture Liaison Service has been running since November 2016. The public hospital serves South Dublin and East Wicklow catchment area with population circa 435,000. The fracture liaison service is part time and serves about 477 patients per year.

The Centro de Referência Estadual para Assistência ao Diabetes e Endocrinologia (CEDEBA) is a reference centre for endocrinology in Salvador, Brazil. The Centre serves patients from many cities in the state of Bahia. The Bone Metabolism Unit works with outpatients who are seeking specific evaluations. The Center offers medical attention, exams and some medication to treat osteoporosis.
http://www.saude.ba.gov.br/cedeba

“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.”