Doctors and patients' perspectives on obesity. A Q-methodology study.
Doctors and patients' perspectives on obesity. A Q-methodology study.
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DOI：
10.1093/fampra/cmab169
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发表时间：
2022-07-19
期刊：
影响因子：
2.2
通讯作者：
中科院分区：
文献类型：
--
作者：
肥胖与污名和歧视有关。卫生保健提供者应该以专业的方式对待这些患者，而不是羞辱，因为治疗肥胖需要医患之间相互理解的关系。探讨患者和全科医生（全科医生）如何看待肥胖，使用q -方法学，允许定量分析定性数据。一项q方法学研究，包括24名肥胖患者和24名全科医生。我们创造了48个关于肥胖的观点。所有参与者用准正态分布对这些陈述进行排序，从- 5（最不同意）到+5（最同意）。随后进行因子分析。六位患者接受了采访，以解释他们的观点。分析得出患者的3个优势群体（因素）：(i)他们认识到健康生活方式的重要性，并感到受到卫生保健的虐待。（二）他们的生活质量下降，但不怪卫生保健；（三）他们不需要治疗，生活质量也没有受损。对于全科医生来说，3个主要因素是：(1)他们对患者有了解，认为医疗保健不足；(2)他们认为肥胖可能是遗传的，但主要是生活方式的问题；(3)他们认为肥胖是可以治疗的，但非常困难。对肥胖的看法在小组内部和小组之间都是不同的。一些全科医生认为肥胖主要是一种生活方式问题，而不是一种慢性疾病。如果患者和医生能在肥胖问题上找到共同的观点，患者的满意度和治疗策略都会更有效。
Obesity is associated with stigma and discrimination. Health care providers should approach these patients professionally and without stigma, since treatment of obesity requires a relationship with mutual understanding between the doctor and patient. To explore how patients and general practitioners (GPs) perceive obesity, using Q-methodology, which allows quantitative analysis of qualitative data. A Q-methodology study, comprising 24 patients with obesity and 24 GPs. We created 48 statements with viewpoints on obesity. All participants sorted these statements in a forced grid with a quasi-normal distribution ranking from −5 (most disagree) to +5 (most agree). Subsequently, factor analysis was performed. Six patients were interviewed to explain their viewpoints. Analysis yielded 3 dominant groups (factors) of patients: (i) They acknowledge the importance of healthy lifestyle and feel mistreated by health care. (ii) They have a decreased quality of life, but do not blame health care, and (iii) They don’t need treatment and don’t have an impaired quality of life. For the GPs, the 3 dominant factors were: (i) They have understanding for the patients and feel that health care is insufficient, (ii) They believe that obesity may be hereditary but mainly is a lifestyle problem, and (iii) They believe obesity can be treated but is very difficult. Viewpoints on obesity were different, both within and between the groups. Some GPs consider obesity mainly as a lifestyle problem, rather than a chronic disease. If patients and doctors can find mutual viewpoints on obesity, both patient satisfaction and a treatment strategy will be more effective.
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影响因子：
10.8
作者：
Brewis A;SturtzSreetharan C;Wutich A
通讯作者：
Wutich A
影响因子：
8.8
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影响因子：
4.8
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影响因子：
3.5
作者：
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通讯作者：
Whitehead, MA
影响因子：
5.3
作者：
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通讯作者：
Jong, M. D. T. de