关键词: barriers facilitators obesity policy

来  源:   DOI:10.1111/cob.12686

Abstract:
Understanding healthcare professionals\' perceptions and approaches to obesity management is limited, as are the barriers impeding effective care. A questionnaire was developed to explore the perception, and barriers to obesity management. To ensure content validity, an expert and stakeholder panel evaluated the relevance and comprehension of each item. Consequently, a cross-sectional survey was administered to endocrinologists (Endo), general practitioners (GP), and pharmacists (Pharm). A 46-item questionnaire was developed, validated, and completed by 502 healthcare professionals (Endo: n = 127; GP: n = 138; Pharm: n = 237). The majority agreed that obesity is a chronic disease (Endo = 96%; GP = 92.7%; Pharm = 87%). The conversation about obesity management is mostly initiated by the healthcare professional (Endo = 95.3%; GP = 73.9%; Pharm = 5.9%) instead of the patient (Endo = 55.1%; GP = 21.7%; Pharm = 11.8%). All professionals stated unanimously that there is a need to optimise obesity care in Belgium with identified barriers: motivational (Endo = 90.8%; GP = 90.8%; Pharm = 89.2%), financial (Endo = 96.9%; GP = 88.5%; Pharm = 76.3%), and a lack of structure (Endo = 81.5%; GP = 78.6%; Pharm = 81.5%). A total of 42.4% of the healthcare providers indicated that they did not follow any additional training. These findings highlight that healthcare professionals recognise obesity as a chronic disease, but that barriers need to be addressed to enhance effective care and support for people living with obesity.
摘要:
了解医疗保健专业人员对肥胖管理的看法和方法是有限的,阻碍有效护理的障碍也是如此。开发了一份问卷来探索感知,和肥胖管理的障碍。为了确保内容的有效性,专家和利益相关者小组评估了每个项目的相关性和理解。因此,对内分泌学家(Endo)进行了横断面调查,全科医生(GP),和药剂师(Pharm)。编制了一份46项调查问卷,已验证,由502名医疗保健专业人员完成(Endo:n=127;GP:n=138;Pharm:n=237)。大多数人认为肥胖是一种慢性疾病(Endo=96%;GP=92.7%;Pharm=87%)。关于肥胖管理的讨论主要由医疗保健专业人员发起(Endo=95.3%;GP=73.9%;Pharm=5.9%),而不是患者(Endo=55.1%;GP=21.7%;Pharm=11.8%)。所有专业人士一致表示,有必要优化比利时的肥胖护理,并确定障碍:动机(Endo=90.8%;GP=90.8%;Pharm=89.2%),财务(Endo=96.9%;GP=88.5%;Pharm=76.3%),缺乏结构(Endo=81.5%;GP=78.6%;Pharm=81.5%)。42.4%的医疗保健提供者表示他们没有接受任何额外的培训。这些发现强调,医疗保健专业人员将肥胖视为一种慢性疾病,但这些障碍需要解决,以加强对肥胖患者的有效护理和支持。
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