Valley Baptist Surgical Weight Loss Program, Valley Baptist Medical Center, 2101 Pease Street, Harlingen, TX 78550, USA.
Obes Surg. 2011 Mar;21(3):379-85. doi: 10.1007/s11695-010-0330-9.
That obesity in the USA has reached epidemic proportions is undeniable: one in three American adults is obese. High levels of obesity yield adverse microeconomic and macroeconomic effects, but assessing the viability of bariatric surgery in this respect requires careful consideration of its efficacy, its economic costs, and the benefits of the surgery. Metabolic syndrome is a microcosm of multiple disease states; the diseases that fall under the umbrella of the metabolic syndrome are, like obesity, becoming more prevalent. Epidemic obesity in part reflects inadequate utilization of bariatric surgery and inadequate coordination of efforts by the healthcare system. An integrated delivery network (IDN) is the best current model to achieve healthcare goals for patient subsets that are deemed important. Our overweight population, both with and without the metabolic syndrome, constitutes such a group because of the fraction of the general population they compose, the inherent costs to the healthcare system that their comorbid conditions generate, and the lost productivity to our economy that the treatment of these conditions entail. In this paper, we show a metabolic syndrome service line that will benefit both the individual hospital and the healthcare system. Pathways accepted for bariatric practices can be used, with modification, for the creation of a metabolic syndrome IDN. Implementation of such a system would benefit patients, caregivers, and society.
美国的肥胖问题已经达到了流行的程度，这是不可否认的：每三个美国成年人中就有一个肥胖。肥胖程度高会产生不利的微观经济和宏观经济影响，但要评估减肥手术在这方面的可行性，需要仔细考虑其疗效、经济成本以及手术的益处。代谢综合征是多种疾病状态的缩影；属于代谢综合征的疾病，与肥胖一样，变得越来越普遍。肥胖流行部分反映了减肥手术的利用不足和医疗体系努力的协调不足。综合交付网络（IDN）是实现医疗目标的最佳当前模型，针对被认为重要的患者亚组。我们超重的人群，无论是有代谢综合征还是没有代谢综合征，都是这样的一个群体，因为他们在总人口中所占的比例、他们的合并症给医疗体系带来的固有成本，以及治疗这些疾病给我们的经济带来的生产力损失。在本文中，我们展示了一条代谢综合征服务线，它将使医院和医疗体系都受益。可以对接受减肥手术的途径进行修改，以创建代谢综合征 IDN。实施这样的系统将使患者、护理人员和社会受益。
