加强美国肥胖症患者医疗保健的政策干预--挑战、机遇和未来方向。

IF 4.8 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Milbank Quarterly Pub Date : 2024-06-01 Epub Date: 2024-02-08 DOI:10.1111/1468-0009.12693
James René Jolin, Minsoo Kwon, Elizabeth Brock, Jonathan Chen, Aisha Kokan, Ryan Murdock, Fatima Cody Stanford
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引用次数: 0

摘要

政策要点 在美国,卫生政策制定者对肥胖症患者(体重指数≥ 30 kg/m2)的护理工作重视不够。目前针对肥胖症药物的联邦政策反映了这一不幸的现实。我们主张建立一个新的政策框架,以增加获得有效肥胖症治疗和护理的机会,同时认识到,尽管预防至关重要,但美国肥胖症的流行比例需要立即采取干预措施来加强护理。减少现有抗肥胖药物、强化行为疗法、体重管理营养和饮食咨询以及减肥手术的障碍并提高其质量至关重要。此外,为了确保护理的连续性和病人与医生之间的信任,消除医生和更广泛的体重耻辱感必须成为任何可行的肥胖症护理议程的核心组成部分。
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Policy Interventions to Enhance Medical Care for People With Obesity in the United States-Challenges, Opportunities, and Future Directions.

Policy Points Health policymakers have insufficiently addressed care for people with obesity (body mass index ≥ 30 kg/m2) in the United States. Current federal policies targeting obesity medications reflect this unfortunate reality. We argue for a novel policy framework to increase access to effective obesity therapeutics and care, recognizing that, though prevention is critical, the epidemic proportions of obesity in the United States warrant immediate interventions to augment care. Reducing barriers to and improving the quality of existing anti-obesity medications, intensive behavioral therapy, weight management nutrition and dietary counseling, and bariatric surgery are critical. Moreover, to ensure continuity of care and patient-clinician trust, combating physician and broader weight stigma must represent a central component of any viable obesity care agenda.

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来源期刊
Milbank Quarterly
Milbank Quarterly 医学-卫生保健
CiteScore
9.60
自引率
3.00%
发文量
37
审稿时长
>12 weeks
期刊介绍: The Milbank Quarterly is devoted to scholarly analysis of significant issues in health and health care policy. It presents original research, policy analysis, and commentary from academics, clinicians, and policymakers. The in-depth, multidisciplinary approach of the journal permits contributors to explore fully the social origins of health in our society and to examine in detail the implications of different health policies. Topics addressed in The Milbank Quarterly include the impact of social factors on health, prevention, allocation of health care resources, legal and ethical issues in health policy, health and health care administration, and the organization and financing of health care.
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