通过针对体重偏见的教育干预,改变医疗保健专业人员的实践行为
Amanda Velazquez1, Karen J Coleman2,3, Robert F Kushner4
1Center for Weight Management and Metabolic Health, Jim and Eleanor Randall Department of Surgery, Cedars Sinai Medical Center, Los Angeles, CA, USA. amanda.velazquez@cshs.org.
Journal of general internal medicine
|December 18, 2024
概括
持续医学教育 (CME) 干预减少了医疗保健专业人员 (HCP) 的体重偏差,并改善了肥胖护理. 该CME计划导致肥胖治疗的诊断和转诊量增加,并显示出持久的积极影响.
科学领域:
- 医学教育 医学教育
- 医疗保健的不平等 医疗保健的不平等
- 肥胖医学 肥胖医学
背景情况:
- 医疗保健中的体重偏差会对患者的治疗结果产生负面影响.
- 持续医学教育 (CME) 可以解决医疗保健专业的偏见.
- 需要有效的干预措施来减少体重偏差和改善肥胖护理.
研究的目的:
- 评估CME干预对医疗保健专业人员 (HCP) 权重偏差的影响.
- 评估CME干预后与肥胖症治疗相关的临床实践行为变化.
主要方法:
- 一个前后设计测量了自我报告的体重偏差,同情心和对照顾肥胖患者的信心.
- 一个比较设计分析了电子医疗记录数据,用于CME与会者和非与会者之间的肥胖诊断和治疗转诊.
- 该研究涉及218名参加CME的医疗保健专业人员和89名没有参加CME的医疗保健专业人员.
主要成果:
- 自我报告的体重偏差减少,而同情心和对照顾肥胖患者的信心在干预后立即增加,并在12个月的随访中维持.
- 与非参加者相比,CME与会者诊断肥胖并进行相关转诊的几率显著更高 (60-212%) .
- 调整包括多年的实践,种族/种族,性别和职业类型等因素.
结论:
- CME干预有效地减少了医疗保健专业人员的体重偏差.
- 该计划对临床实践行为产生了显著的积极影响,从而改善了肥胖诊断和治疗转诊.
- 这种可扩展的干预措施表明,它有望得到更广泛的实施,以加强肥胖护理.
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