Accommodating patients with obesity and mobility difficulties: Observations from physicians.
Accommodating patients with obesity and mobility difficulties: Observations from physicians.
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DOI：
10.1016/j.dhjo.2020.100951
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发表时间：
2021-01
影响因子：
4.5
通讯作者：
Iezzoni LI
中科院分区：
文献类型：
--
作者：
Agaronnik ND;Lagu T;DeJong C;Perez-Caraballo A;Reimold K;Ressalam J;Iezzoni LI
鉴于美国越来越多的成年人患有肥胖症和行动不便，医生将需要照顾这些患者。了解美国医生对肥胖症和行动不便患者的护理态度和做法。三个开放式的、半结构化的、基于网络的焦点小组访谈，采访了选定专业的执业医生，达到了数据饱和。访谈被录像和转录，用于定性的、常规的内容分析。测量包括围绕照顾肥胖症患者的常见表达主题。医生认识到肥胖是一种残疾，对高质量、安全和高效的患者护理构成了挑战。观察集中在四个主题上：(1)常规跟踪体重的困难；(2)不愿将肥胖患者转移到检查台；(3)诊断测试的障碍；以及(4)体重耻辱。医生描述了为肥胖患者准确评估体重、进行全面体检、安排诊断成像和提供产前护理的困难。缺乏可获得的医疗诊断设备阻碍了对肥胖患者的护理。其他参与者没有对个别参与者暗示体重耻辱的评论提出异议。我们的发现表明，在为肥胖症患者提供公平的护理机会方面，可能仍然存在重大差距，需要额外的培训和可获得的医疗诊断设备来安全地容纳这些患者。
Given the growing population of U.S. adults with obesity and mobility disability, physicians will need to accommodate these patients. To explore attitudes and practices of US physicians related to caring for patients with obesity and mobility disability. Three open-ended, semi-structured, web-based focus group interviews with practicing physicians in selected specialties, which reached data saturation. Interviews were video recorded and transcribed for qualitative, conventional content analysis. Measurements included commonly expressed themes around caring for patients with obesity. Physicians recognized obesity as a disability that poses challenges to high quality, safe, and efficient patient care. Observations coalesced around four themes: (1) difficulty routinely tracking weight; (2) reluctance to transfer obese patients to exam tables; (3) barriers to diagnostic testing; and (4) weight stigma. Physicians described difficulties accurately assessing weight, performing complete physical examinations, arranging diagnostic imaging, and providing prenatal care for obese patients. Lack of accessible medical diagnostic equipment impeded care for patients with obesity. Other participants did not contest comments of individual participants’ that suggested weight stigma. Our findings suggest that important gaps may remain in providing equitable access to care for patients with obesity, requiring additional training and accessible medical diagnostic equipment to safely accommodate these patients.
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影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
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影响因子：
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作者：
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通讯作者：
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影响因子：
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作者：
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影响因子：
12.7
作者：
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通讯作者：
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DOI：
10.1038/oby.2005.198
发表时间：
2005-09-01
期刊：
OBESITY RESEARCH
影响因子：
--
作者：
Bertakis, KD;Azari, R
通讯作者：
Azari, R