Homer Charles, Simpson Lisa A
National Initiative for Children's Healthcare Quality, Boston, Massachusetts, USA.
Health Aff (Millwood). 2007 Mar-Apr;26(2):441-4. doi: 10.1377/hlthaff.26.2.441.
The health care industry must acknowledge its critical role in addressing childhood obesity. All components of the industry--payers, plans, and providers--must act based on the best available evidence. This evidence now points to promoting breastfeeding and increased physical activity, decreased television time, and decreased consumption of sugar-sweetened beverages; the use of more-effective counseling techniques; and linking practice and community-based strategies around a common message. Policies in support of these changes include reimbursement for counseling and community efforts; training; incentives; and support for traditional and pragmatic research, the latter including sharing outcomes using common metrics across programs.
医疗保健行业必须认识到其在解决儿童肥胖问题上的关键作用。该行业的所有组成部分——付款方、医保计划和医疗服务提供者——都必须依据现有最佳证据采取行动。目前，这些证据表明应促进母乳喂养、增加体育活动、减少看电视时间以及减少含糖饮料的消费；采用更有效的咨询技巧；并围绕一个共同信息将临床实践与基于社区的策略联系起来。支持这些改变的政策包括为咨询和社区工作提供报销；培训；激励措施；以及支持传统且实用的研究，后者包括使用跨项目的通用指标来分享成果。
