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Sizing Up General Practice Environments for Big-Bodied Patients: An Environmental Assessment of Three Facilities in

Sonya Morgan¹, Sheharazade Mihlar¹, Emily Wood¹

¹Department of Primary Health Care and General Practice, University of Otago, Wellington, New Zealand.

|March 21, 2024

Abstract

Objectives:

This research describes the physical environments of and equipment in Aotearoa New Zealand (NZ) general practices in relation to available standards for big-bodied people (BBP) seeking healthcare.

Background:

The prevalence of BBP both in NZ and globally has increased over the last 30 years and is expected to increase further. As the first and most utilized point of contact for patients in NZ and many countries, it is essential that general practices provide suitable environments to cater for and meet the needs of big-bodied patients seeking healthcare.

Methods:

An exploratory study utilizing an environmental investigation was undertaken in three diverse general practices. Data collection consisted of direct observation and physical measurements of practice layout and equipment. Findings were compared to the existing guidelines or standards for the healthcare of BBP.

Results:

The analysis identified most environmental facets and equipment in all three general practices did not meet published guidelines for the care of BBP.

Conclusions:

In the global context of increasing and sustained prevalence of BBP, this exploratory study highlights it is crucial that general practices and similar community-based facilities review their physical environments and equipment and consider modifications to improve accessibility, inclusivity, and comfort for BBP.

Keywords:

bariatric big-bodied people environmental investigation general practice healthcare environments

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