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Related Experiment Videos

Obesity management: physician practice patterns and patient preference.

Nichola J Davis1, Ada Emerenini1, Judith Wylie-Rosett1

  • 1The Albert Einstein College of Medicine, the Bronx, New York

The Diabetes Educator
|July 29, 2006
PubMed
Summary

Many patients want physician help with weight loss, but documentation and referrals are low. Primary care physicians should assess patient attitudes and utilize referrals for effective obesity management.

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Area of Science:

  • Internal Medicine
  • Public Health
  • Obesity Research

Background:

  • Obesity is a significant public health concern, particularly in inner-city populations.
  • Primary care physicians play a crucial role in obesity management.
  • Understanding patient attitudes and physician practices is vital for improving weight management interventions.

Purpose of the Study:

  • To evaluate patient attitudes towards weight loss counseling in an inner-city clinic.
  • To assess the weight management practice behaviors of primary care physicians in residency training.

Main Methods:

  • A cross-sectional survey was conducted with patients at an internal medicine resident continuity clinic.
  • Patient attitudes were assessed using questionnaires, including the Quick Weight, Activity & Excess Screener (WAVE).

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  • Physician practice patterns were evaluated through chart reviews.

    • Main Results:

    • 80% of patients were overweight or obese, yet diagnosis documentation was low (21% obese, 11% overweight).
    • Only 17% of obese patients received dietitian referrals and 36% had physician weight loss recommendations.
    • A majority of obese patients (86%) desired weight loss and felt physicians could assist, with 64% wanting dietitian referrals.

    Conclusions:

    • Physicians must actively address obesity by assessing patient attitudes and lifestyle change willingness.
    • Referrals to dietitians and other support services are crucial for effective weight reduction counseling.
    • Integrating patient-centered approaches and utilizing available resources can improve obesity management outcomes.