Center for Healthy Weight and Nutrition, Nationwide Children's Hospital, 700 Children's Dr, Columbus, OH 43205, USA.
Pediatrics. 2011 Sep;128 Suppl 2(Suppl 2):S86-90. doi: 10.1542/peds.2011-0480I.
The obesity epidemic has resulted in an increasing number of children needing multidisciplinary obesity treatment. To meet this need, pediatric obesity programs have arisen, particularly in children's hospitals. In 2008, the National Association of Children's Hospitals and Related Institutions (NACHRI) convened FOCUS on a Fitter Future, a group drawn from NACHRI member institutions, to investigate the needs, barriers, and capacity-building in these programs.
Senior administrators of the 47 NACHRI member hospitals that completed an application to participate in the FOCUS group were invited to complete a Web-based survey. The survey targeted 4 key areas: (1) perceived value of the obesity program; (2) funding mechanisms; (3) administrative challenges; and (4) sustainability of the programs.
Nearly three-quarters of the respondents reported that their obesity programs were integrated into their hospitals' strategic plans. Obesity programs added value to their institutions because the programs met the needs of patients and families (97%), met the needs of health care providers (91%), prevented future health problems in children (85%), and increased visibility in the community (79%). Lack of reimbursement (82%) and high operating costs (71%) were the most frequently cited challenges. Respondents most frequently identified demonstration of program effectiveness (79%) as a factor that is necessary for ensuring program sustainability.
Hospital administrators view tackling childhood obesity as integral to their mission to care for children. Our results serve to inform hospital clinicians and administrators as they develop and implement sustainable pediatric obesity programs.
肥胖症的流行导致越来越多的儿童需要接受多学科肥胖症治疗。为了满足这一需求，儿科肥胖症项目应运而生，尤其是在儿童医院。2008 年，美国儿童医院协会及其相关机构（NACHRI）召集了“为更健康的未来聚焦”（FOCUS on a Fitter Future）会议，该会议召集了来自 NACHRI 成员机构的一组人员，旨在调查这些项目的需求、障碍和能力建设情况。
邀请了完成参与 FOCUS 小组申请的 47 家 NACHRI 成员医院的高级管理人员完成了一项基于网络的调查。该调查针对 4 个关键领域：（1）肥胖项目的感知价值；（2）资金机制；（3）行政挑战；（4）项目的可持续性。
近四分之三的受访者报告说，他们的肥胖症项目已经融入了医院的战略计划。肥胖症项目为他们的机构增加了价值，因为这些项目满足了患者和家庭的需求（97%），满足了医疗保健提供者的需求（91%），预防了儿童未来的健康问题（85%），并提高了在社区的知名度（79%）。缺乏报销（82%）和运营成本高（71%）是最常被提到的挑战。受访者最常认为展示项目的有效性（79%）是确保项目可持续性的必要因素。
医院管理人员认为，解决儿童肥胖问题是他们照顾儿童使命的一部分。我们的研究结果为医院临床医生和管理人员在制定和实施可持续的儿科肥胖症项目时提供了信息。
