Department of Surgery, Wisconsin Surgical Outcomes Research Program (WiSOR), University of Wisconsin-Madison, Madison, Wisconsin.
Department of Surgery, Wisconsin Surgical Outcomes Research Program (WiSOR), University of Wisconsin-Madison, Madison, Wisconsin; William S. Middleton Veterans Memorial Hospital, Madison, Wisconsin.
Surg Obes Relat Dis. 2018 Mar;14(3):404-412. doi: 10.1016/j.soard.2017.11.012. Epub 2017 Nov 10.
Severe obesity affects nearly 20 million adults in the United States and is associated with significant morbidity and mortality. Bariatric surgery is the most effective treatment for weight loss and resolution of obesity-related co-morbidities. Of adults with severe obesity,<1% undergo bariatric surgery annually. Both contextual (health system, clinicians, and community) and individual factors contribute to the underutilization of bariatric surgery. In this review, we summarize potential barriers to undergoing bariatric surgery within the framework of Andersen's Behavioral Model of Health Services Use.
严重肥胖影响了美国近 2000 万成年人，并且与显著的发病率和死亡率相关。减重手术是治疗体重减轻和解决肥胖相关合并症最有效的方法。在严重肥胖的成年人中，每年只有不到 1%的人接受减重手术。减重手术的利用不足是由环境（医疗体系、临床医生和社区）和个体因素共同造成的。在这篇综述中，我们根据安德森健康服务利用行为模型总结了接受减重手术的潜在障碍。
