MD/MBA candidate at the University of Southern California in Los Angeles.
Assistant professor at the University of Denver in Colorado.
AMA J Ethics. 2023 Jul 1;25(7):E507-513. doi: 10.1001/amajethics.2023.507.
Physicians tend to rely on diagnostic criteria, which can influence patients' access to care by legitimizing need for care, connections to appropriate clinicians, and insurance coverage for indicated interventions. This article considers potential unintended but foreseeable negative consequences, including iatrogenic harm, of using body mass index (BMI) to distinguish typical from atypical anorexia nervosa, despite both illnesses sharing the same behaviors and complications. This article also suggests teaching strategies to help students learn to avoid overreliance on BMI in eating disorders care.
医生往往依赖诊断标准,这些标准可以通过使患者的护理需求合理化、与合适的临床医生建立联系以及为所需干预措施提供保险覆盖,从而影响患者获得护理的机会。本文考虑了使用身体质量指数 (BMI) 来区分典型和非典型神经性厌食症的潜在意外但可预见的负面影响,尽管这两种疾病都有相同的行为和并发症。本文还提出了教学策略,以帮助学生学会避免在饮食障碍护理中过度依赖 BMI。