Lebow Jocelyn, Narr Cassandra, Mattke Angela, Gewirtz O'Brien Janna R, Billings Marcie, Hathaway Julie, Vickers Kristin, Jacobson Robert, Sim Leslie
Department of Psychiatry and Psychology, Mayo Clinic, Mayo Clinic School of Medicine, 200 First Street SW, Rochester, MN, 55905, USA.
Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Rochester, MN, USA.
J Eat Disord. 2021 Jan 14;9(1):11. doi: 10.1186/s40337-020-00363-8.
The primary care setting offers an attractive opportunity for, not only the identification of pediatric eating disorders, but also the delivery of evidence-based treatment. However, constraints of this setting pose barriers for implementing treatment. For interventions to be successful, they need to take into consideration the perspectives of stakeholders. As such, the purpose of this study was to examine in-depth primary care providers' perspective of challenges to identifying and managing eating disorders in the primary care setting.
This mixed methods study surveyed 60 Pediatric and Family Medicine providers across 6 primary care practices. Sixteen of these providers were further interviewed using a qualitative, semi-structured interview.
Providers (n = 60, response rate of 45%) acknowledged the potential of primary care as a point of contact for early identification and treatment of pediatric eating disorders. They also expressed that this was an area of need in their practices. They identified numerous barriers to successful implementation of evidence-based treatment in this setting including scarcity of time, knowledge, and resources.
Investigations seeking to build capacities in primary care settings to address eating disorders must address these barriers.
基层医疗环境不仅为识别儿童饮食失调提供了一个有吸引力的机会，也为提供循证治疗创造了条件。然而，这种环境的限制为实施治疗带来了障碍。为使干预措施取得成功，需要考虑利益相关者的观点。因此，本研究的目的是深入探讨基层医疗服务提供者对在基层医疗环境中识别和管理饮食失调所面临挑战的看法。
这项混合方法研究对6家基层医疗机构的60名儿科和家庭医学提供者进行了调查。其中16名提供者还接受了定性的半结构化访谈。
提供者（n = 60，回复率为45%）承认基层医疗作为早期识别和治疗儿童饮食失调接触点的潜力。他们还表示这是他们工作中需要关注的一个领域。他们指出在这种环境中成功实施循证治疗存在诸多障碍，包括时间、知识和资源的匮乏。
旨在增强基层医疗环境中应对饮食失调能力的调查必须克服这些障碍。
