Department of Pediatrics, University of Minnesota, MMC 185, 420 Delaware St. SE, Minneapolis, MN 55455, USA.
Rev Endocr Metab Disord. 2009 Sep;10(3):197-203. doi: 10.1007/s11154-009-9110-z.
In order to successfully address the problem of childhood obesity, effective weight management programs must be established by a variety of clinicians to treat the increasing numbers of overweight and obese children and adolescents. An effective program will: 1) identify children and adolescents with health risks related to excess fat, 2) help families make permanent healthy lifestyle changes, and 3) provide ongoing care to optimize long-term health. Building a pediatric weight management program which achieves these goals requires attention to several aspects, including location, personnel, equipment, institutional support, marketing, referral base, focus of the overall approach, and billing & reimbursement. Maintaining the program after it is established can be enhanced by concentrating on team communication, continuing education, continuous quality improvement, and improving adherence.
为了成功解决儿童肥胖问题,必须由各种临床医生建立有效的体重管理计划,以治疗越来越多的超重和肥胖儿童和青少年。一个有效的计划将:1)识别与脂肪过多相关的健康风险的儿童和青少年,2)帮助家庭做出永久性的健康生活方式改变,3)提供持续的护理以优化长期健康。建立一个实现这些目标的儿科体重管理计划需要注意几个方面,包括地点、人员、设备、机构支持、营销、转诊基础、整体方法的重点以及计费和报销。通过关注团队沟通、继续教育、持续质量改进和提高依从性,可以加强计划建立后的维护。