McGowan Barbara M
Department of Diabetes and Endocrinology, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Obes Facts. 2016;9(3):182-92. doi: 10.1159/000445193. Epub 2016 Jun 4.
Obesity is officially recognised as a chronic disease and a top public health priority by several global societies and healthcare bodies. In some European countries, the majority of the adult population is either overweight or obese, with major implications for patient health and healthcare systems. General practitioners (GPs) are well-placed to tackle this epidemic, yet their engagement with patients is fraught with challenges and barriers. These include time limitations, a lack of evidence base, sensitivities around raising the topic of obesity with patients, inadequate availability of supporting local weight loss services, a lack of training for healthcare professionals (HCPs) on the management of obesity and a limited number of effective therapies. A number of steps need to be implemented to promote engagement between GPs and individuals with obesity. This article provides a European perspective on the obstacles that patients face in accessing healthcare services and discusses a variety of approaches for engaging individuals with obesity and facilitating the management of obesity as a chronic disease.
肥胖被多个全球协会和医疗保健机构正式认定为一种慢性疾病,也是首要的公共卫生重点问题。在一些欧洲国家,大多数成年人口超重或肥胖,这对患者健康和医疗保健系统产生了重大影响。全科医生(GPs)处于应对这一流行病的有利位置,但他们与患者的互动充满挑战和障碍。这些包括时间限制、缺乏证据基础、在与患者提及肥胖话题时存在敏感性、当地支持性减肥服务供应不足、医疗保健专业人员(HCPs)在肥胖管理方面缺乏培训以及有效疗法数量有限。需要采取一系列措施来促进全科医生与肥胖个体之间的互动。本文从欧洲视角探讨了患者在获得医疗服务时面临的障碍,并讨论了多种让肥胖个体参与进来并促进将肥胖作为慢性疾病进行管理的方法。