Clark Daniel, Chrysler Lisa, Perkins Anthony, Keith Nicole R, Willis Deanna R, Abernathy Greg, Smith Faye
Indiana University, Medicine, Indianapolis, IN 46202, USA.
J Health Care Poor Underserved. 2010 May;21(2):617-28. doi: 10.1353/hpu.0.0319.
Community health centers have the potential to lessen obesity. We conducted a retrospective evaluation of a quality improvement program that included electronic body mass index (BMI) screening with provider referral to an in-clinic lifestyle behavior change counselor with weekly nutrition and exercise classes. There were 26,661 adult patients seen across five community health centers operating the weight management program. There were 23,593 (88%) adult patients screened, and 12,487 (53%) of these patients were overweight or obese (BMI >or=25). Forty percent received a provider referral, 15.6% had program contact, and 2.1% had more than 10 program contacts. A mean weight loss of seven pounds was observed among those patients with more than 10 program contacts. No significant weight change was observed in patients with less contact. Achieving public health impact from guideline recommended approaches to CHC-based weight management will require considerable improvement in patient and provider participation.
社区健康中心有减轻肥胖的潜力。我们对一项质量改进项目进行了回顾性评估，该项目包括通过电子方式筛查体重指数（BMI），并由医护人员将患者转介给诊所内的生活方式行为改变顾问，每周开展营养和运动课程。在实施体重管理项目的五个社区健康中心共接待了26,661名成年患者。共对23,593名（88%）成年患者进行了筛查，其中12,487名（53%）患者超重或肥胖（BMI≥25）。40%的患者收到了医护人员的转介，15.6%的患者与项目有接触，2.1%的患者与项目有超过10次接触。与项目有超过10次接触的患者平均减重7磅。接触较少的患者未观察到明显的体重变化。要通过基于社区健康中心的体重管理指南推荐方法实现公共卫生影响，需要大幅提高患者和医护人员的参与度。
