对超重和肥胖症患者进行有效体重管理的障碍和促进因素:快速范围审查。

IF 8 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Obesity Reviews Pub Date : 2024-11-01 DOI:10.1111/obr.13858
Alemayehu Mekonnen, Vidanka Vasilevski, Anna Chapman, Shaan Naughton, Eva Yuen, Jane Willcox, Elizabeth Holmes-Truscott, Jaithri Ananthapavan, Fisaha Tesfay, Linda Sweet, Anna Peeters
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引用次数: 0

摘要

我们进行了一项范围界定综述,以确定在英语高收入国家的医疗机构中对超重和肥胖患者进行有效体重管理的障碍和促进因素。在 2024 年 6 月对同行评审文献和灰色文献进行了系统检索。采用归纳式主题分析法对数据进行分析。在已识别并筛选出的 15,684 篇文章中,有 216 项研究被纳入其中。与医疗保健相关的体重管理障碍和促进因素分为三个主题:a) 与医疗保健提供者相关的因素;b) 提供护理;c) 政策/资金。主要障碍包括医疗服务提供者的知识不足以及肥胖管理的优先级较低,这主要发生在初级医疗机构。研究发现,基层医疗机构以外的体重管理尤其具有挑战性,转诊途径不畅、服务分散、缺乏多学科实践以及资格标准限制等因素阻碍了服务的可及性。制定统一的政策和指南、加强对医疗服务提供者的教育、增加资金投入以提供低成本的综合护理,这些都被认为是促进体重管理服务的获取和利用的因素。在不同的医疗服务提供者和环境中,所发现的障碍存在相当大的重叠。为解决肥胖率不断上升的问题,有必要采取整体医疗系统方法,最大限度地减少体重管理服务的障碍并加强其促进因素。
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Barriers and enablers to effective weight management for people living with overweight and obesity: A rapid scoping review.

A scoping review was conducted to identify barriers and enablers to effective weight management in healthcare settings for people living with overweight and obesity in English-speaking high-income countries. Peer-reviewed and gray literature were systematically searched in June 2024. Data were analyzed using inductive thematic analysis. Of the 15,684 unique articles identified and screened for relevance, 216 studies were included. Healthcare-related barriers and enablers to weight management were organized under three themes: a) healthcare provider-related factors, b) provision of care, and c) policy/funding. Prominent barriers included healthcare provider knowledge deficits and low prioritization of obesity management, mainly in the primary care setting. Weight management beyond the primary care setting was found to be especially challenging, with poor referral pathways, service fragmentation, lack of multidisciplinary practice, and restricted eligibility criteria, hindering the accessibility of services. Developing consistent policies and guidelines, improving the education of healthcare providers, and increasing funding to provide low-cost comprehensive care, were identified as enablers to access and uptake of weight management services. Considerable overlap in the identified barriers existed across healthcare providers and settings. A whole health system approach to minimize barriers and strengthen enablers to weight management services is needed, to address rising obesity rates.

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来源期刊
Obesity Reviews
Obesity Reviews 医学-内分泌学与代谢
CiteScore
19.30
自引率
1.10%
发文量
130
审稿时长
1 months
期刊介绍: Obesity Reviews is a monthly journal publishing reviews on all disciplines related to obesity and its comorbidities. This includes basic and behavioral sciences, clinical treatment and outcomes, epidemiology, prevention and public health. The journal should, therefore, appeal to all professionals with an interest in obesity and its comorbidities. Review types may include systematic narrative reviews, quantitative meta-analyses and narrative reviews but all must offer new insights, critical or novel perspectives that will enhance the state of knowledge in the field. The editorial policy is to publish high quality peer-reviewed manuscripts that provide needed new insight into all aspects of obesity and its related comorbidities while minimizing the period between submission and publication.
期刊最新文献
Longer-term effects of intermittent fasting on body composition and cardiometabolic health in adults with overweight and obesity: A systematic review and meta-analysis. Identifying behavior change techniques (BCTs) in responsive feeding interventions to prevent childhood obesity-A systematic review. Effects of mindfulness-based interventions on obesogenic eating behaviors: A systematic review and meta-analysis. Barriers and enablers to effective weight management for people living with overweight and obesity: A rapid scoping review. Molecular mechanisms of the obesity associated with Bardet-Biedl syndrome: An update.
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