患者寻求减肥手术的原因：保险覆盖范围重要吗？
Why patients seek bariatric surgery: does insurance coverage matter?
作者信息
Brantley Phillip J, Waldo Krystal, Matthews-Ewald Molly R, Brock Ricky, Champagne Catherine M, Church Tim, Harris Melissa N, McKnight Tipton, McKnight Melanie, Myers Valerie H, Ryan Donna H
机构信息
Behavioral Medicine Laboratory, Pennington Biomedical Research Center, Louisiana State University System, 6400 Perkins Road, Baton Rouge, LA, 70808-4124, USA,
出版信息
Obes Surg. 2014 Jun;24(6):961-4. doi: 10.1007/s11695-014-1237-7.
Despite increasing prevalence of bariatric surgery, little is known about why patients seek out this treatment option. Heads Up is an observational study sponsored by a large benefits management group that examines surgical and nonsurgical approaches to weight management in obese adults. This study examined patients' reasons for choosing surgery. The sample included 360 adult obese patients seeking bariatric surgery who were invited to volunteer for a surgical or a medical weight loss program by their insurer. Participants rank ordered their top three reasons as a deciding factor for choosing to consider surgery. The top three reasons were concerns regarding health (52%), current obesity-related medical conditions (28%), and improved physical fitness (5%). Overall, 13% endorsed insurance coverage as one of their top three choices. When insurance coverage is assured, health and functionality issues were the major reasons reported for obese adults choosing to undergo bariatric surgery.
尽管减肥手术的普及率不断上升，但对于患者寻求这种治疗选择的原因却知之甚少。“注意”是一项由大型福利管理集团赞助的观察性研究，该研究考察了肥胖成年人体重管理的手术和非手术方法。这项研究调查了患者选择手术的原因。样本包括360名寻求减肥手术的成年肥胖患者，他们由保险公司邀请自愿参加手术或医学减肥项目。参与者将他们选择考虑手术的三大主要原因按重要性排序。三大主要原因是对健康的担忧（52%）、当前与肥胖相关的医疗状况（28%）以及改善身体健康（5%）。总体而言，13%的人将保险覆盖作为他们的三大选择之一。当保险覆盖得到保证时，健康和功能问题是肥胖成年人选择接受减肥手术的主要原因。
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