Obese Patients No Less Likely to Receive Recommended Preventive Care

上一篇 / 下一篇 2010-04-30 16:44:48 / 天气: 晴朗 / 心情: 高兴

Obese Patients No Less Likely to Receive Recommended Preventive CareObese Patients No Less Likely to Receive Recommended Preventive CareObese patients appear no less likely to receive recommended care than normal-weight patients,#x according to the results of a study reported in the April 7 issue of JAMA.

"Clinicians often have negative attitudes toward obesity and express dissatisfaction in caring for obese patients,"Concrete Mixing Stationwrite Virginia W. Chang, MD, PhD, from the University of Pennsylvania School of Medicine in Philadelphia, and colleagues. "Moreover, obese patients often feel that clinicians are biased or disrespectful because of their weight. These observations raise the concern that obese patients may receive lower quality of care." In fact, the study authors describe earlier studies reporting that clinicians "openly admit to negative attitudes toward obese patients" and "express dissatisfaction" in having to care for this population.

The goal of this study was to assess whether performance on 8 different common outpatient quality measures would vary based on patient weight status. This was determined in 2 national-level patient populations: 36,122 Medicare beneficiaries, using 1994 - 2006 data from the Medicare Current Beneficiary Survey, and 33,550 enrollees in the Veterans Health Administration,google优化, using 2003 - 2004 data from an ongoing performance evaluation program.#x Overweight was defined as a body mass index (BMI) of 25.0 to 29.9 kg/m2 and obesity as a BMI of 30 kg/m2 or more.

There was no evidence that obese or overweight patients were less likely to receive recommended care when compared with normal-weight patients. On several measures, success rates were marginally higher for obese and/or overweight patients, particularly for recommended diabetes care among Medicare beneficiaries.Concrete Mixing StationObese patients with diabetes were more likely to receive recommended care than normal-weight patients with diabetes for lipid screening (72% vs 65%; odds ratio [OR], 1.37; 95% confidence interval [CI], 1.09 - 1.73) and glycated hemoglobin testing (74% vs 62%; OR, 1.73; 95% CI, 1.41 - 2.11). "Among samples of patients from the Medicare and [Veterans Health Administration] populations, there was no evidence across 8 performance measures that obese or overweight patients received inferior care when compared with normal-weight patients," the study authors write. 'Being obese or overweight was associated with a marginally higher rate of recommended care on several measures."

Limitations of this study include measurement of success only along 8 specified preventive health indicators; obese patients may experience inferior care along other measures of medical care and quality. Also, successes and failures in care reflect the contributions of patients as well as clinicians and ,#x the Medicare Current Beneficiary Survey relied on self-reported height and weight data, Finally,Concrete Mixing Stationthe conclusions lack generalizability to younger obese populations who may experience greater stigma and stereotyping.相关的主题文章：

Obese Patients No Less Likely to Receive Recommended Preventive Care

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