Weight Management and General Pediatrics, Children's Mercy Hospital, 2401 Gillham Rd, Kansas City, MO 64108, USA.
Pediatrics. 2011 Sep;128 Suppl 2(Suppl 2):S59-64. doi: 10.1542/peds.2011-0480E.
Pediatric tertiary care institutions are well positioned to provide multidisciplinary, intensive interventions for pediatric obesity known as stage 3 treatment. One contributor to the difficulty in administering this treatment is the high rate of patient attrition. Little is known about the practices used by pediatric weight-management clinics and group-based programs to minimize attrition. Hospital members and nonmembers of FOCUS on a Fitter Future were surveyed on the methods used to engage and retain obese children in their clinics and programs. Shortly thereafter, a benchmarking activity that centered on rates of patient nonattendance at initial and follow-up clinic visits was initiated among FOCUS-group-participating hospitals. Clinic- and group-based program results were contrasted. Staff from group-based programs reported that the majority of patients did not complete even 50% of program follow-up visits. Multiple patient/family- and clinic/program-level barriers to retention were identified. Attention to successful techniques should be paid during planning for new programs and improvement of established ones.
儿科三级医疗机构具备提供儿科肥胖症多学科、强化干预的条件，这种干预被称为 3 期治疗。实施这种治疗的一个难点是患者流失率高。儿科体重管理诊所和基于小组的项目用来尽量减少流失的做法鲜为人知。关注更美好未来焦点组织的医院成员和非成员接受了调查，询问他们在诊所和项目中吸引和留住肥胖儿童的方法。此后不久，在参与焦点组织的医院中开展了一项以初始和后续诊所就诊时患者未到场率为中心的基准活动。对诊所和基于小组的项目结果进行了对比。基于小组的项目的工作人员报告说，大多数患者甚至没有完成 50%的项目随访就诊。确定了多个患者/家庭和诊所/项目层面的保留障碍。在规划新计划和改进现有计划时，应注意成功的技术。
