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Global barriers to decision makers for prioritizing interventions for obesity
Lars Holger Ehlers1, Nicoline Weinreich Reinstrup2, Renée Hangaard Olesen2
1Nordic Institute of Health Economics, Aarhus, Denmark. lars@nih-economics.dk.
International Journal of Obesity (2005)
|October 16, 2024
Summary
Barriers in decision-making hinder obesity treatment prioritization. Addressing perceptions, knowledge, economics, and politics requires a systems approach to effectively manage the obesity epidemic.
Area of Science:
- Medical research
- Public health policy
- Health economics
Background:
- Obesity treatment is underprioritized despite effective pharmacologic options.
- Reimbursement and prioritization face substantial barriers, limiting access to care.
- Existing prevention and treatment strategies are hampered by systemic issues.
Purpose of the Study:
- To investigate barriers decision-makers face in prioritizing obesity interventions.
- To identify interconnections between barriers to obesity prevention and treatment.
- To inform strategies for improved global prioritization of obesity management.
Main Methods:
- A scoping review was conducted using systematic searches of scientific and Health Technology Assessment (HTA) databases.
- Included studies focused on barriers to reimbursement or prioritization of obesity treatment and prevention.
- Analysis synthesized findings from 26 articles and 14 HTAs.
Main Results:
- Four primary barriers were identified: perceptions, knowledge, economics, and politics.
- Significant interconnectedness was observed among these barriers.
- Overlaps were noted across barriers for bariatric surgery, pharmacologic treatments, and prevention regulations.
Conclusions:
- Multiple interconnected barriers impede decision-makers from prioritizing obesity interventions.
- A systems approach is necessary to improve global prioritization for obesity treatment and prevention.
- Decision-makers must comprehensively consider all identified barriers to address the obesity epidemic effectively.
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