全科医生是否准备好并愿意解决肥胖管理问题？

Are general practitioners ready and willing to tackle obesity management?

机构信息

Centre for Physical Activity and Health, University of Sydney, School of Public Health, Sydney, Australia.

出版信息

Obes Res Clin Pract. 2008 Sep;2(3):I-II. doi: 10.1016/j.orcp.2008.04.008.

DOI:10.1016/j.orcp.2008.04.008

PMID:24351776

Abstract

OBJECTIVE

To investigate general practitioners' (GPs') knowledge, role perception, confidence and practices of managing adult and childhood overweight and obesity, and to explore the association with GPs' attendance at Continuing Professional Development (CPD) on overweight and obesity.

METHODS

In 2007, all GPs in seven Divisions of general practice in New South Wales were sent a questionnaire on GPs perceptions and practices of weight counselling.

RESULTS

646 GPs participated (40% response rate). About half of the GPs (47%) believed that only a small percentage of adults could reduce weight and maintain that loss, whereas 33% had a similar belief in relation to children. Most GPs believed that it was their role to manage weight and felt confident to do so with adults, but fewer GPs felt confident in managing children. Nevertheless, just over one-third of GPs reported they counselled more than 10 adult patients, and a similar proportion counselled more than 3 children per week. GPs who felt more confident were more likely to counsel adults (OR = 2.69, p = 0.001) and children (OR = 3.31, p < 0.001). Those who received CPD were more likely to feel confident in managing adults (OR = 1.56, p = 0.031) and children (OR = 2.19, p < 0.001).

CONCLUSIONS

Although the majority of GPs believe that weight management is their role, only a small proportion regularly provided counselling. This may partly be the result of GPs confidence in managing patients, especially children. CPD on overweight and obesity may benefit GP confidence, but additional training is needed to improve GP's counselling behaviour, particularly for children.

摘要

目的

调查全科医生（GP）管理成年和儿童超重及肥胖的知识、角色认知、信心和实践情况，并探讨与 GP 参加超重和肥胖继续教育（CPD）的相关性。

方法

2007 年，新南威尔士州七个全科医学分部的所有全科医生都收到了一份关于 GP 对体重咨询的看法和实践的问卷。

结果

646 名 GP 参与了调查（40%的回应率）。大约一半的 GP（47%）认为只有一小部分成年人能够减轻体重并保持体重减轻，而 33%的人对儿童也有类似的看法。大多数 GP 认为管理体重是他们的角色，并对管理成年人有信心，但对管理儿童的信心较少。然而，超过三分之一的 GP 报告他们每周为超过 10 名成年患者提供咨询，也有类似比例的 GP 每周为超过 3 名儿童提供咨询。自我感觉更有信心的 GP 更有可能为成年人（OR=2.69，p=0.001）和儿童（OR=3.31，p<0.001）提供咨询。接受 CPD 的 GP 更有可能对管理成年人（OR=1.56，p=0.031）和儿童（OR=2.19，p<0.001）有信心。