Russell George V, Pierce Christine W, Nunley Loren
Department of Orthopaedic Surgery, University of Mississippi Medical Center, Jackson, MS 39216, USA.
Orthop Clin North Am. 2011 Jan;42(1):123-7, vii. doi: 10.1016/j.ocl.2010.09.003.
The obesity epidemic continues to grow. As the number of obese people increases, it is logical to expect an increasing number of obese patients and increasing costs to care for these patients. Orthopedic surgeons will see many of these patients who need treatment for injuries and chronic conditions. Care of obese patients requires more work and time in providing nonoperative and operative care. No system has been proposed to handle reimbursement disparities, particularly for providers. The model for health care will change and, along with it, should be all parties coming together to address inequalities and inequities in care for obese and morbidly obese patients.
肥胖流行情况持续加剧。随着肥胖人数的增加,肥胖患者数量预计会上升,照顾这些患者的成本也会增加,这是合乎逻辑的。骨科医生将会见到许多因受伤和慢性病需要治疗的此类患者。照顾肥胖患者在提供非手术和手术护理方面需要更多工作和时间。尚未提出任何系统来处理报销差异问题,尤其是对医疗服务提供者而言。医疗保健模式将会改变,与此同时,所有各方都应共同努力,解决肥胖和病态肥胖患者护理中的不平等和不公平问题。