Woolford Susan J, Clark Sarah J, Gebremariam Achamyeleh, Davis Matthew M, Freed Gary L
Child Health Evaluation and Research Unit, University of Michigan, Ann Arbor, MI 48109-5456, USA.
Clin Pediatr (Phila). 2010 Sep;49(9):871-5. doi: 10.1177/0009922810368287. Epub 2010 Jun 3.
To identify factors that might influence physicians' referrals of obese adolescents to pediatric multidisciplinary weight management (PMWM) programs.
DESIGN/METHODS: Survey of a national sample of 375 pediatricians (PDs) and 375 family physicians (FPs) explored program availability, referral history, desired services, and when in the course of treatment physicians would refer. Differences were examined via chi(2) tests.
Response rate was 67%. More PDs than FPs reported having a PMWM program available (46% vs 10%, P < .01). More PDs (PD 83% vs FP 53%, P < .01) and female physicians (88% vs 65%, P < .01) reported having made a referral. Most physicians wanted coordinated diet, activity, and behavioral therapy (79%). Almost all physicians indicated they would refer when unsure of what else to do, or if requested by the patient/parent.
PMWM program referrals appear limited by availability. These data also suggest physicians may be reticent to refer. Further work should examine whether this affects patient outcomes.
确定可能影响医生将肥胖青少年转介至儿科多学科体重管理（PMWM）项目的因素。
设计/方法：对全国375名儿科医生（PD）和375名家庭医生（FP）进行抽样调查，探讨项目可用性、转介历史、所需服务以及医生在治疗过程中何时会进行转介。通过卡方检验分析差异。
回复率为67%。报告有PMWM项目的儿科医生比家庭医生更多（46%对10%，P<.01）。报告进行过转介的儿科医生（83%）和女医生（88%）比家庭医生（53%）和男医生（65%）更多（P<.01）。大多数医生希望提供协调的饮食、活动和行为疗法（79%）。几乎所有医生表示，当不确定其他治疗方法或患者/家长提出要求时，他们会进行转介。
PMWM项目的转介似乎受到可用性的限制。这些数据还表明医生可能不愿进行转介。进一步的研究应探讨这是否会影响患者的治疗结果。
