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首页> 外文期刊>Journal of human nutrition and dietetics >A study using semi-structured interview and Delphi survey to explore the barriers and enabling factors that influence access and utilisation of weight management services for people living with morbid obesity: A patient and professional perspective
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A study using semi-structured interview and Delphi survey to explore the barriers and enabling factors that influence access and utilisation of weight management services for people living with morbid obesity: A patient and professional perspective

机译：使用半结构性访谈和德尔福调查的研究探讨了影响患有病态肥胖症的人们对体重管理服务的访问和利用的障碍和能力因素：患者和专业的观点

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Background: A quarter of the United Kingdom’s population are living with obesity, a disease that causes an estimated 30 000 deaths each year. This coincides with an under-utilisation of weight management services across the country with the majority of patients with morbid obesity having no record of any weight loss intervention at all. This study explores the factors that influence patient access to weight management services. Methodology: Expert opinion was obtained using semi-structured interviews and the Delphi methodology. Participants were selected from primary and secondary healthcare settings. Healthcare professionals (HCPs) had experience working in weight management services or in services dealing with obesity-related comorbidities. Patients had experience in attending a variety weight management services. Results: Nineteen participants completed all aspects of the study. The main barriers included negative perceptions, low mood/depression, obesity not being considered as a serious disease, lack of access to services for housebound patients and disproportionate commissioning. Suggested facilitating factors to improve access included the education of all HCPs about obesity, improving HCP communication with patients, and broadening the number of HCP’s that are able to refer to weight management services. Conclusions: Future services must prioritise the education of all HCPs and the public to combat the stigma of obesity and its impact on health. National commissioning guidelines in partnership with advocates of obesity should seek to streamline referral pathways, broaden referral sources and increase the availability of specialist services. Awareness of these factors when designing future weight management services will help to improve their utilisation.
机译：背景：英国四分之一的人口患有肥胖症，这种疾病每年估计造成3万人死亡。这与全国范围内对体重管理服务的利用不足相吻合，大多数病态肥胖患者根本没有任何减肥干预记录。本研究探讨了影响患者获得体重管理服务的因素。方法：采用半结构化访谈和德尔菲法获得专家意见。参与者从初级和二级医疗机构中选择。医疗保健专业人员（HCP）在体重管理服务或处理肥胖相关合并症的服务方面有经验。患者有参加各种体重管理服务的经验。结果：19名参与者完成了研究的各个方面。主要障碍包括负面认知、情绪低落/抑郁、肥胖症未被视为严重疾病、在家患者无法获得服务以及过度委托。建议的促进因素包括对所有医务人员进行有关肥胖的教育，改善医务人员与患者的沟通，以及扩大能够参考体重管理服务的医务人员的数量。结论：未来的服务必须优先对所有医务人员和公众进行教育，以消除肥胖的耻辱感及其对健康的影响。国家委托指导方针应与肥胖倡导者合作，寻求简化转诊途径，拓宽转诊来源，增加专家服务的可用性。在设计未来的体重管理服务时，了解这些因素将有助于提高其利用率。

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