Osteoporos Sarcopenia.  2018 Jun;4(2):45-50. 10.1016/j.afos.2018.06.001.

The development of Taiwan Fracture Liaison Service network

  • 1School of Medicine, National Taiwan University, Taipei, Taiwan.
  • 2Superintendent Office, Far Eastern Polyclinic of Far Eastern Medical Foundation, Taipei, Taiwan.
  • 3Department of Family Medicine, National Taiwan University Hospital Bei-Hu Branch, Taipei, Taiwan.
  • 4Department of Orthopaedics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
  • 5Department of Geriatric Medicine, China Medical University Hospital, Taichung, Taiwan.
  • 6Department of Endocrinology and Metabolism, Changhua Christian Hospital, Changhua City, Taiwan.
  • 7Department of Orthopaedics, Taitung Christian Hospital, Taitung City, Taiwan.
  • 8Department of Orthopaedic Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.
  • 9Department of Orthopaedics, Dalin Tzu Chi Hospital, Chiayi County, Taiwan.
  • 10Department of Family Medicine, E-Da Hospital, Kaohsiung, Taiwan.
  • 11Department of Orthopedics, National Taiwan University Hospital, Taipei, Taiwan. rsy0819@gmail.com
  • 12Department of Family Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan. paulo@mail.ncku.edu.tw
  • 13Superintendent Office, National Taiwan University Hospital Chu-Tung Branch, Hsinchu County, Taiwan. dingchengchan@ntu.edu.tw


Osteoporosis and its associated fragility fractures are becoming a severe burden in the healthcare system globally. In the Asian-Pacific (AP) region, the rapidly increasing in aging population is the main reason accounting for the burden. Moreover, the paucity of quality care for osteoporosis continues to be an ongoing challenge. The Fracture Liaison Service (FLS) is a program promoted by International Osteoporosis Foundation (IOF) with a goal to improve quality of postfracture care and prevention of secondary fractures. In this review article, we would like to introduce the Taiwan FLS network. The first 2 programs were initiated in 2014 at the National Taiwan University Hospital and its affiliated Bei-Hu branch. Since then, the Taiwan FLS program has continued to grow exponentially. Through FLS workshops promoted by the Taiwanese Osteoporosis Association (TOA), program mentors have been able to share their valuable knowledge and clinical experience in order to promote establishments of additional programs. With 22 FLS sites including 11 successfully accredited on the best practice map, Taiwan remains as one of the highest FLS coverage countries in the AP region, and was also granted the IOF Best Secondary Fracture Prevention Promotion award in 2017. Despite challenges faced by the TOA, we strive to promote more FLS sites in Taiwan with a main goal of ameliorating further health burden in managing osteoporotic patients.


Asia-Pacific region; Taiwan; Fracture Liaison Service; Best Practice Framework; Osteoporosis

MeSH Terms

Awards and Prizes
Delivery of Health Care
Financing, Organized
Practice Guidelines as Topic
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