Global barriers to decision makers for prioritizing interventions for obesity.

IF 4.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM International Journal of Obesity Pub Date : 2024-10-16 DOI:10.1038/s41366-024-01650-z
Lars Holger Ehlers, Nicoline Weinreich Reinstrup, Renée Hangaard Olesen, Jens-Christian Holm, Phil McEwan, Carel W Le Roux
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Abstract

The treatment of obesity remains underprioritized. New pharmacologic options for the treatment of obesity have shown effectiveness and safety but are not widely reimbursed. Despite the unmet need and the existence of effective prevention and treatment strategies, substantial barriers exist to effectively address obesity as a disease. The purpose of this scoping review was to investigate the barriers for decision makers in prioritizing interventions for obesity and to seek out interconnection between barriers to prevention and treatment. A scoping review was conducted using a systematic search of both scientific databases and Health Technology Assessment (HTA) databases. Studies that addressed barriers to reimbursement or prioritization of obesity treatment and prevention were included. A total of 26 articles and 14 HTAs were included. Four main barriers for decision makers to prioritize new interventions for obesity were identified: perceptions, knowledge, economics, and politics. There was a high degree of interconnectedness among barriers, as well as large overlaps between barriers in relation to bariatric surgery, pharmacologic treatments, and prevention regulation. Multiple barriers exist that impact decision makers in prioritizing interventions for treating obesity. A strong interconnectedness of the barriers was found, indicating a systems approach to improve global prioritization to address the disease. This study suggests that decision makers should carefully consider all main barriers when addressing the obesity epidemic.

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决策者在确定肥胖症干预措施的优先次序方面面临的全球性障碍。
肥胖症的治疗仍未得到足够重视。治疗肥胖症的新药物方案已显示出有效性和安全性,但并未广泛报销。尽管需求尚未得到满足,而且存在有效的预防和治疗策略,但在有效解决肥胖症这一疾病方面仍存在巨大障碍。本次范围界定审查的目的是调查决策者在确定肥胖症干预措施的优先次序时遇到的障碍,并找出预防和治疗障碍之间的相互联系。我们通过对科学数据库和卫生技术评估 (HTA) 数据库进行系统检索,对范围进行了界定。涉及肥胖症治疗和预防的报销障碍或优先顺序的研究被纳入其中。共纳入了 26 篇文章和 14 项健康技术评估。确定了决策者优先考虑肥胖症新干预措施的四大障碍:观念、知识、经济和政治。这些障碍之间存在高度的相互关联性,在减肥手术、药物治疗和预防法规方面的障碍之间也存在大量重叠。存在着多种障碍,影响着决策者对治疗肥胖症的干预措施进行优先排序。研究发现,这些障碍之间存在着很强的相互关联性,这表明需要采用系统方法来改善全球治疗肥胖症的优先次序。这项研究表明,决策者在应对肥胖症流行时应仔细考虑所有主要障碍。
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来源期刊
International Journal of Obesity
International Journal of Obesity 医学-内分泌学与代谢
CiteScore
10.00
自引率
2.00%
发文量
221
审稿时长
3 months
期刊介绍: The International Journal of Obesity is a multi-disciplinary forum for research describing basic, clinical and applied studies in biochemistry, physiology, genetics and nutrition, molecular, metabolic, psychological and epidemiological aspects of obesity and related disorders. We publish a range of content types including original research articles, technical reports, reviews, correspondence and brief communications that elaborate on significant advances in the field and cover topical issues.
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