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The role of the General Practitioner in weight management in primary care – a cross sectional study in General Practice

机译：全科医师在初级保健中体重控制中的作用–全科医师的横断面研究

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Background Obesity has become a global pandemic, considered the sixth leading cause of mortality by the WHO. As gatekeepers to the health system, General Practitioners are placed in an ideal position to manage obesity. Yet, very few consultations address weight management. This study aims to explore reasons why patients attending General Practice appointments are not engaging with their General Practitioner (GP) for weight management and their perception of the role of the GP in managing their weight. Methods In February 2006, 367 participants aged between 17 and 64 were recruited from three General Practices in Melbourne to complete a waiting room self – administered questionnaire. Questions included basic demographics, the role of the GP in weight management, the likelihood of bringing up weight management with their GP and reasons why they would not, and their nominated ideal person to consult for weight management. Physical measurements to determine weight status were then completed. The statistical methods included means and standard deviations to summarise continuous variables such as weight and height. Sub groups of weight and questionnaire answers were analysed using the χ2 test of significant differences taking p as Results The population sample had similar obesity co-morbidity rates to the National Heart Foundation data. 74% of patients were not likely to bring up weight management when they visit their GP. Negative reasons were time limitation on both the patient's and doctor's part and the doctor lacking experience. The GP was the least likely person to tell a patient to lose weight after partner, family and friends. Of the 14% that had been told by their GP to lose weight, 90% had cardiovascular obesity related co-morbidities. GPs (15%) were 4th in the list of ideal persons to manage weight after personal trainer Conclusion Patients do not have confidence in their GPs for weight management, preferring other health professionals who may lack evidence based training. Concurrently, GPs target only those with obesity related co-morbidities. Further studies evaluating GPs' opinions about weight management, effective strategies that can be implemented in primary care and the co-ordination of the team approach need to be done.
机译：背景肥胖已成为全球大流行病，被世界卫生组织认为是导致死亡的第六大主要原因。作为卫生系统的看门人，全科医生被放置在管理肥胖症的理想位置。但是，很少有关于体重管理的咨询。这项研究旨在探讨参加全科医师就诊的患者为何不与其全科医生（GP）进行体重管理的原因，以及他们对GP在管理体重方面的作用的认识。方法2006年2月，从墨尔本的3个普通科中招募了367名年龄在17至64岁之间的参与者，以完成一个候诊室自我管理的调查问卷。问题包括基本的人口统计信息，全科医生在体重管理中的作用，与全科医生进行体重管理的可能性，为什么不参加全科医生的原因以及提名的理想人选以进行体重管理。然后完成确定体重状态的物理测量。统计方法包括平均值和标准偏差，以总结连续变量，例如体重和身高。使用χ 2 显着性差异检验对体重和问卷回答的亚组进行分析，以p为结果。人群样本的肥胖合并症发生率与美国国家心脏基金会的数据相近。 74％的患者在就医时不太可能进行体重控制。负面原因是患者和医生双方都受到时间限制，并且医生经验不足。在伴侣，家人和朋友之后，GP是最不可能告诉患者减肥的人。他们的GP告知减肥的14％中，有90％患有心血管肥胖相关的合并症。在私人教练之后，GPs（15％）在理想的体重控制人员中排名第4。结论患者对自己的GPs的体重控制没有信心，偏爱其他可能缺乏循证培训的医疗专业人员。同时，全科医生仅针对那些与肥胖相关的合并症的人。需要做进一步的研究来评估全科医生对体重管理的观点，可以在初级保健中实施的有效策略以及团队方法的协调。

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