Department of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
Sijben Advies, Veghel, The Netherlands.
BMC Health Serv Res. 2023 Apr 12;23(1):359. doi: 10.1186/s12913-023-09284-z.
Childhood obesity is a chronic disease with negative physical and psychosocial health consequences. To manage childhood overweight and obesity, integrated care as part of an integrated approach is needed. To realise implementation of this integrated care, practical guidance for policy and practice is needed. The aim of this study is to describe the development of a Dutch national model of integrated care for childhood overweight and obesity and accompanying materials for policy and practice.
The development of the national model was led by a university-based team in collaboration with eight selected Dutch municipalities who were responsible for the local realisation of the integrated care and with frequent input from other stakeholders. Learning communities were organised to exchange knowledge, experiences and tools between the participating municipalities.
The developed national model describes the vision, process, partners and finance of the integrated care. It sets out a structure that provides a basis for local integrated care that should facilitate support and care for children with overweight or obesity and their families. The accompanying materials are divided into materials for policymakers to support local realisation of the integrated care and materials for healthcare professionals to support them in delivering the needed support and care.
The developed national model and accompanying materials can contribute to improvement of support and care for children with overweight or obesity and their families, and thereby help improve the health, quality of life and societal participation of these children. Further implementation of the evidence- and practice-based integrated care while evaluating on the way is needed.
儿童肥胖是一种慢性病，会对身心健康产生负面影响。为了管理儿童超重和肥胖问题，需要采取综合护理措施，作为综合方法的一部分。为了实现这种综合护理的实施，需要为政策和实践提供实用的指导。本研究的目的是描述荷兰儿童超重和肥胖综合护理国家模式的制定过程以及配套的政策和实践材料。
该国家模式的开发由一个基于大学的团队领导，与 8 个选定的荷兰城市合作，这些城市负责综合护理的地方实施，并经常得到其他利益相关者的投入。成立了学习社区，以在参与城市之间交流知识、经验和工具。
所开发的国家模式描述了综合护理的愿景、过程、合作伙伴和资金。它提出了一个结构，为地方综合护理提供了基础，应该有助于支持和照顾超重或肥胖儿童及其家庭。配套材料分为供政策制定者使用的材料，以支持地方综合护理的实施，以及供医疗保健专业人员使用的材料，以支持他们提供所需的支持和护理。
所制定的国家模式和配套材料可以为改善超重或肥胖儿童及其家庭的支持和护理做出贡献，从而有助于提高这些儿童的健康、生活质量和社会参与度。需要在实施的过程中进一步实施基于证据和实践的综合护理，并进行评估。
