Wee Christina C, Arbaje Alicia I, Bering Harriet, Blount Linda, Joseph Joshua J, Kahan Scott, Apovian Caroline M, White-Faines Adrienne
American College of Physicians, Philadelphia, Pennsylvania (C.C.W., A.W-F.).
Division of Geriatric Medicine and Gerontology, Johns Hopkins University School of Medicine, and Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland (A.I.A.).
Ann Intern Med. 2025 May;178(5):725-736. doi: 10.7326/ANNALS-25-00675. Epub 2025 Apr 1.
Obesity is a leading cause of morbidity and mortality with health consequences that crosscut most medical specialties. Despite the emergence of effective and promising new therapies, many impediments to comprehensive obesity care remain. As part of their commitment to improving obesity care, the American College of Physicians (ACP) and its Council of Subspecialty Societies (CSS) held a summit on 24 October 2023 to identify barriers to and opportunities for collaborative action in the domains of physician education, health care policy and care delivery, and addressing weight bias. This report summarizes the summit proceedings and provides a postsummit synthesis from ACP and CSS. Key themes were centered on knowledge, advocacy, action, and compassion, including the need for culture change, paradigm shifts, and stakeholder engagement and collaboration; a focus on empowerment of both clinicians and patients; the importance of knowing patients as people to help address social determinants of health; the need to address learned helplessness; and the importance of embracing artificial intelligence and technology as disruptive innovations. Recommendations for next steps for collaborative action include leveraging and improving already available educational and clinical resources, developing obesity education and care standards that incorporate patients' perspectives and address social determinants of health, developing community and public-private partnerships to improve access and public awareness, and coordinating messaging and policy advocacy efforts that align with mitigating the longstanding obesity epidemic.
肥胖是发病率和死亡率的主要原因，其对健康的影响涉及大多数医学专科。尽管出现了有效且有前景的新疗法，但全面肥胖护理仍存在许多障碍。作为其改善肥胖护理承诺的一部分，美国医师协会（ACP）及其专科协会理事会（CSS）于2023年10月24日召开了一次峰会，以确定在医师教育、医疗保健政策与服务提供以及解决体重偏见等领域开展合作行动的障碍和机遇。本报告总结了峰会讨论情况，并提供了ACP和CSS峰会后的综合意见。关键主题集中在知识、倡导、行动和同情心方面，包括文化变革、范式转变以及利益相关者参与和合作的必要性；关注增强临床医生和患者的能力；将患者作为个体了解以帮助解决健康的社会决定因素的重要性；解决习得性无助的必要性；以及将人工智能和技术作为颠覆性创新加以接纳的重要性。合作行动下一步的建议包括利用和改进现有的教育和临床资源，制定纳入患者观点并解决健康社会决定因素的肥胖教育和护理标准，建立社区及公私伙伴关系以改善可及性和公众意识，以及协调与缓解长期存在的肥胖流行趋势相一致的信息传播和政策倡导工作。
