Ware Lisa J, Williams Sarah, Bradbury Katherine, Brant Catherine, Little Paul, Hobbs F D Richard, Yardley Lucy
School of Psychology, University of Southampton, UK.
Inform Prim Care. 2012;20(4):283-8. doi: 10.14236/jhi.v20i4.18.
Demand is increasing for primary care to deliver effective weight management services to patients, but research suggests that staff feel inadequately resourced for such a role. Supporting service delivery with a free and effective web-based weight management programme could maximise primary care resource and provide cost-effective support for patients. However, integration of e-health into primary care may face challenges.
To explore primary care staff experiences of delivering weight management services and their perceptions of a web-based weight management programme to aid service delivery.
Focus groups were conducted with primary care physicians, nurses and healthcare assistants (n = 36) involved in delivering weight loss services. Data were analysed using inductive thematic analysis.
Participants thought that primary care should be involved in delivering weight management, especially when weight was aggravating health problems. However, they felt under-resourced to deliver these services and unsure as to the effectiveness of their input, as routine services were not evaluated. Beliefs that current services were ineffective resulted in staff reluctance to allocate more resources. Participants were hopeful that supplementing practice with a web-based weight management programme would enhance patient services and promote service evaluation.
Although primary care staff felt they should deliver weight loss services, low levels of faith in the efficacy of current treatments resulted in provision of under-resourced and 'ad hoc' services. Integration of a web-based weight loss programme that promotes service evaluation and provides a cost-effective option for supporting patients may encourage practices to invest more in weight management services.
基层医疗为患者提供有效体重管理服务的需求日益增加，但研究表明，工作人员认为开展此类工作的资源不足。利用免费且有效的基于网络的体重管理计划来支持服务提供，可以最大限度地利用基层医疗资源，并为患者提供具有成本效益的支持。然而，将电子健康融入基层医疗可能会面临挑战。
探讨基层医疗工作人员提供体重管理服务的经验以及他们对基于网络的体重管理计划对辅助服务提供的看法。
对参与提供减肥服务的基层医疗医生、护士和医疗助理（n = 36）进行焦点小组访谈。使用归纳主题分析法对数据进行分析。
参与者认为基层医疗应参与提供体重管理服务，尤其是当体重加重健康问题时。然而，他们觉得开展这些服务的资源不足，并且由于常规服务未得到评估，不确定自己投入的效果。认为当前服务无效的看法导致工作人员不愿分配更多资源。参与者希望通过基于网络的体重管理计划来补充实践，以改善患者服务并促进服务评估。
尽管基层医疗工作人员认为他们应该提供减肥服务，但对当前治疗效果的信心不足导致提供的服务资源不足且“临时凑合”。整合一个促进服务评估并为支持患者提供具有成本效益选择的基于网络的减肥计划，可能会鼓励医疗机构在体重管理服务上投入更多。
