Barriers to progression through Australian obesity management pathways: Survey data from the ACTION-IO study.


Journal

Australian journal of general practice
ISSN: 2208-7958
Titre abrégé: Aust J Gen Pract
Pays: Australia
ID NLM: 101718099

Informations de publication

Date de publication:
07 2023
Historique:
medline: 11 7 2023
pubmed: 10 7 2023
entrez: 9 7 2023
Statut: ppublish

Résumé

Our previous work uncovered a nine-year delay, from when Australian people with obesity (PwO) first began struggling with excess weight and first discussed weight with a healthcare professional (HCP). In this study we explore barriers to having an obesity consultation, making and discussing the diagnosis of obesity and arranging a management plan, including a follow-up appointment. Australian PwO (n = 1000) and HCPs (n = 200; 50% general practitioners [GPs]), completed the Awareness, Care & Treatment In Obesity Management - An International Observation (ACTION-IO) online survey. Of Australian PwO, 53% had discussed weight with an HCP in the past five years, 25% were informed of their obesity diagnosis and 15% had weight-related follow-up appointments scheduled. Fewer GPs than other specialists reported recording obesity diagnoses, but GPs scheduled more follow-up appointments. Receiving formal obesity training was reported by 22% of GPs and 44% of other specialists. Barriers to obesity care in Australia include unrealistic expectations from both PwO and HCPs, lack of evidence-based strategies and insufficient training. Further exploration of barriers is required.

Sections du résumé

BACKGROUND AND OBJECTIVES
Our previous work uncovered a nine-year delay, from when Australian people with obesity (PwO) first began struggling with excess weight and first discussed weight with a healthcare professional (HCP). In this study we explore barriers to having an obesity consultation, making and discussing the diagnosis of obesity and arranging a management plan, including a follow-up appointment.
METHOD
Australian PwO (n = 1000) and HCPs (n = 200; 50% general practitioners [GPs]), completed the Awareness, Care & Treatment In Obesity Management - An International Observation (ACTION-IO) online survey.
RESULTS
Of Australian PwO, 53% had discussed weight with an HCP in the past five years, 25% were informed of their obesity diagnosis and 15% had weight-related follow-up appointments scheduled. Fewer GPs than other specialists reported recording obesity diagnoses, but GPs scheduled more follow-up appointments. Receiving formal obesity training was reported by 22% of GPs and 44% of other specialists.
DISCUSSION
Barriers to obesity care in Australia include unrealistic expectations from both PwO and HCPs, lack of evidence-based strategies and insufficient training. Further exploration of barriers is required.

Identifiants

pubmed: 37423245
doi: 10.31128/AJGP-07-22-6501
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

472-480

Auteurs

Georgia Rigas (G)

MBBS, BSc(Med), FRACGP, VMO GPObesity Doctor, St George Private Hospital, Kogarah, Sydney, NSW; Senior Bariatric Medical Practitioner, St George Private Hospital, Kogarah, Sydney, NSW.

Kathryn Williams (K)

BMed(Sci), MBBS(Hons I), PhD, FRACP, Senior Staff Specialist and Head of Department, Endocrinology, Nepean Hospital, Nepean Blue Mountains Local Health District, Penrith, NSW; Senior Lecturer (conjoint), Nepean Clinical School, Faculty of Medicine and Health/ Charles Perkins Centre, University of Sydney, Camperdown, NSW.

Priya Sumithran (P)

MBBS, FRACP, PhD, Senior Research Fellow, Department of Medicine (St Vincent@s), The University of Melbourne, Fitzroy, Vic; Head, Obesity Medicine, Department of Endocrinology, Austin Health, Heidelberg, Vic.

Wendy A Brown (WA)

MBBS(Hons), PhD, FACS, FRACS,@Professor and Chair, Monash University Department@of Surgery, Central Clinical School, Melbourne, Vic;@Alfred Health Program Director of Surgical Services,@Alfred Health Director, Oesophago-Gastric and@Bariatric Unit, Alfred Health, Melbourne, Vic.

Ian D Caterson (ID)

MBBS, BSc(Med), PhD, FRACP, Professor Emeritus, SoLES, University of Sydney and Boden Initiative, Charles Perkins Centre, University of Sydney, Camperdown, NSW; Senior Staff Specialist, Royal Prince Alfred Hospital, Camperdown, NSW.

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