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英国肥胖护理能力工作组的建议:指导委员会的报告。

Recommendations from a Working Group on Obesity Care Competencies for Healthcare Education in the UK: A Report by the Steering Committee.

机构信息

Rotherham Institute for Obesity, Clifton Medical Centre, The Health Village, Doncaster Gate, Rotherham, S65 1DA, UK.

College of Contemporary Health, London, UK.

出版信息

Adv Ther. 2022 Jun;39(6):3019-3030. doi: 10.1007/s12325-022-02108-2. Epub 2022 Apr 22.

Abstract

INTRODUCTION

Obesity significantly increases the risk of developing (or worsening) more than 200 chronic diseases, and it is also a risk factor for severe COVID-19. With the rising prevalence of obesity in the UK, there is a need to develop obesity care competencies that apply to healthcare professionals (HCPs) at all levels of the health service, to increase the capacity for contemporary, evidence-based treatment that is effective, compassionate, and avoids stigmatising patients.

METHODS

A UK Obesity Care Competencies Working Group consisting of experts by profession and experts by experience was created to provide a framework of obesity care competencies for HCPs involved in specialist obesity care (tiers 2-4 in the UK). The framework was adapted from a set of competencies recently published by the USA-based Obesity Medicine Education Collaborative (OMEC) and was intended to be adaptable to nurses and allied health professionals, as well as physicians, owing to the multidisciplinary team approach used in healthcare in the UK.

RESULTS

The UK Obesity Care Competencies Working Group developed a set of 29 competencies, divided into five focal areas, namely obesity knowledge, patient care and procedural skills, practice-based learning and improvement, professionalism and interpersonal communication skills, and systems-based practice. The working group recommends that the obesity care competencies are targeted at HCPs training as specialists. The competencies could be imported into existing training programmes to help standardise obesity-related medical education and could also be used to direct a new General Practitioner with Extended Role (GPwER) qualification.

CONCLUSION

This list of obesity care competencies aims to provide an initial framework to improve education for HCPs and therefore to improve patient care in obesity. The acceptance and integration of these competencies into the healthcare system should provide a stepping stone toward addressing trends in health inequality.

摘要

简介

肥胖显著增加了罹患(或加重)200 多种慢性疾病的风险,也是 COVID-19 重症的一个风险因素。随着英国肥胖症的发病率不断上升,需要制定适用于各级医疗保健专业人员(HCP)的肥胖护理能力,以提高针对肥胖症的现代循证治疗的能力,这种治疗既有效又富有同情心,且避免歧视患者。

方法

成立了一个由专业和经验专家组成的英国肥胖护理能力工作组,为参与专科肥胖护理(英国的 2-4 级)的 HCP 提供肥胖护理能力框架。该框架是从美国肥胖医学教育协作组织(OMEC)最近公布的一组能力中改编而来的,旨在适用于护士和联合健康专业人员以及医生,因为在英国的医疗保健中采用了多学科团队方法。

结果

英国肥胖护理能力工作组制定了一套 29 项能力,分为五个重点领域,即肥胖知识、患者护理和程序技能、基于实践的学习和改进、专业精神和人际交往能力以及基于系统的实践。工作组建议将肥胖护理能力的目标定为专科培训的 HCP。这些能力可以导入到现有的培训计划中,以帮助规范与肥胖相关的医学教育,也可以用于指导新的具有扩展角色的普通医生(GPwER)资格。

结论

这份肥胖护理能力清单旨在为 HCP 的教育提供一个初步框架,从而改善肥胖症患者的护理。这些能力被医疗保健系统接受和整合应该为解决健康不平等趋势提供一个起点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b04/9123037/85f226d8bce5/12325_2022_2108_Fig1_HTML.jpg

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