Body Mass Index Measurement and Obesity Prevalence in Ten U.S. Health Plans
Body Mass Index Measurement and Obesity Prevalence in Ten U.S. Health Plans
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DOI：
10.3121/cmr.2010.880
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发表时间：
2010-12-01
影响因子：
1.4
通讯作者：
Sherwood, Nancy
中科院分区：
文献类型：
--
作者：
Arterburn, David;Alexander, Gwen;Sherwood, Nancy
目的：本研究的目的是在实施两项新的肥胖症医疗保健有效性数据和信息集（HEDIS）性能指标之前检查体重指数（BMI）测量的频率，这两项指标要求美国健康计划每年报告在过去两年中至少有一次门诊就诊的所有成人和儿童的BMI和BMI百分位数测量的频率。设计：横断面研究。设置：来自健康维护组织研究网络的10个美国健康计划和护理提供系统的联盟，它们共同为超过650万成人和儿童提供护理。参与者：儿童和成人，2岁及以上，2005 ~ 2006年连续参加美国10个健康计划之一至少1年的患者。我们从2005年至2006年的10个电子病历数据库中提取了370万成人和120万儿童的人体测量数据，这些数据至少有一次访问。我们发现，成人BMI测量的可用性在健康计划中的范围从28%到88%不等，儿童BMI测量的可用性从21%到81%不等。在这十个健康计划中，成年人和儿童的BMI指标，超重和肥胖的总体患病率非常相似，在2005年至2006年美国全国调查报告，使用测量的身高和weights.Conclusion：新批准的HEDIS性能措施可能是一个重要的一步，在解决肥胖症的护理质量在美国。目前的研究表明，这些HEDIS措施是可以实现的，特别是在已经实施电子病历的健康计划中。未来的研究应该评估BMI评估，提供者咨询和治疗实践之间的关系，以及不同人群肥胖率的长期变化。
Objective: The objective of this study was to examine the frequency of body mass index (BMI) measurement before the implementation of two new Healthcare Effectiveness Data and Information Set (HEDIS) performance measures for obesity that require U.S. health plans to annually report the frequency of BMI and BMI percentile measurement among all adults and children who had at least one outpatient visit during the past two years.Design: Cross-sectional study.Setting: A consortium of ten U.S. health plans and care delivery systems from the Health Maintenance Organization Research Network, which together provide care to more than 6.5 million adults and children.Participants: Children and adults, age 2 years and older, who were continuously enrolled in one of ten U.S. health plans for at least one full year from 2005 to 2006.Methods: We extracted available anthropometric data for 3.7 million adults and 1.2 million children with at least one visit captured from ten electronic medical record databases from 2005 to 2006.Results: We found that the availability of BMI measurements for adults ranged widely across health plans from 28% to 88%, and availability of BMI percentiles for children ranged from 21% to 81%. Among adults and children with BMI measures in these ten health plans, the overall prevalence of overweight and obesity were very similar to those reported in the 2005 to 2006 U.S. national surveys that used measured heights and weights.Conclusion: The newly approved HEDIS performance measures likely represent an important step in addressing the quality of obesity care in the United States. The current study demonstrates that these HEDIS measures are achievable, especially among health plans that have implemented electronic medical records. Future research should assess the relationship between BMI assessment, provider counseling and treatment practices, and long-term changes in obesity rates among different population groups.