Chang Sheila Z, Beacher Daniel R, Kwon Soyang, McCarville Megan A, Binns Helen J, Ariza Adolfo J
University of Illinois College of Medicine at Chicago, Chicago, IL 60612, USA.
Mary Ann and J. Milburn Smith Child Health Research Program, Stanley Manne Children's Research Institute, Chicago, IL 60611, USA.
Int J Environ Res Public Health. 2014 Sep 17;11(9):9680-93. doi: 10.3390/ijerph110909680.
Pediatric subspecialists can participate in the care of obese children.
To describe steps to help subspecialty providers initiate quality improvement efforts in obesity care.
An anonymous patient data download, provider surveys and interviews assessed subspecialty providers' identification and perspectives of childhood obesity and gathered information on perceived roles and care strategies. Participating divisions received summary analyses of quantitative and qualitative data and met with study leaders to develop visions for division/service-specific care improvement.
Among 13 divisions/services, subspecialists' perceived role varied by specialty; many expressed the need for cross-collaboration. All survey informants agreed that identification was the first step, and expressed interest in obtaining additional resources to improve care.
Subspecialists were interested in improving the quality and coordination of obesity care for patients across our tertiary care setting. Developing quality improvement projects to achieve greater pediatric obesity care goals starts with engagement of providers toward better identifying and managing childhood obesity.
儿科专科医生可以参与肥胖儿童的护理。
描述帮助专科医疗服务提供者启动肥胖症护理质量改进工作的步骤。
通过匿名患者数据下载、提供者调查和访谈，评估专科医疗服务提供者对儿童肥胖症的识别和看法，并收集有关其认知角色和护理策略的信息。参与的科室收到了定量和定性数据的汇总分析，并与研究负责人会面，以制定针对科室/服务特定的护理改进愿景。
在13个科室/服务部门中，专科医生的认知角色因专业而异；许多人表示需要跨部门协作。所有调查对象都认为识别是第一步，并表示有兴趣获得更多资源以改善护理。
专科医生有兴趣提高我们三级医疗环境中患者肥胖症护理的质量和协调性。开展质量改进项目以实现更大的儿童肥胖症护理目标，首先要让医疗服务提供者更好地识别和管理儿童肥胖症。
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