Evidence-based childhood obesity treatment: Improving access and systems of care

 描述(由申请人提供)：扭转儿童肥胖的趋势对于预防相关疾病的发展、提高生活质量和减少与终身超重相关的成本负担至关重要。美国预防服务工作组(USPSTF)建议临床医生对6岁及以上的儿童进行肥胖筛查，并为他们提供或推荐他们进行密集的咨询和行为干预，以促进体重状况的改善。作为B级建议，这些肥胖治疗服务由提供者提供，覆盖范围不包括联邦医疗保险和合格的商业健康计划的费用分担。然而，儿童肥胖症的循证治疗途径仍然有限。障碍，包括在当前保健系统内缺乏有效提供服务的能力和报销不足，阻碍了USPSTF建议治疗的广泛实施。为了推进循证护理和有效治疗儿童肥胖症，利益相关者必须通力合作，开发可行、可接受、有效和可持续的护理提供模式，支持USPSTF的建议，并为报销政策变化制定统一战略。我们建议召开一次小型会议，作为思想领袖和利益相关者的密集会议，共同投资于增加儿童肥胖症有效、循证治疗的机会。拟议的会议将由美国儿科学会健康儿童体重研究所、肥胖学会儿科肥胖分会和医学研究所关于预防和管理肥胖的综合临床和社会系统的创新合作组织共同主办。为了加强会议成果的影响范围和影响力，罗伯特·伍德·约翰逊基金会和美国心理协会将作为传播伙伴。通过这次会议，利益相关者将评估儿童肥胖症治疗领域的优先事项，提出有前景的实践和示范计划，并形成合作战略，以：1)改进护理系统，推动USPSTF关于儿童肥胖症的建议的实施；以及2)增加全面和高质量的循证肥胖症治疗的获得和支付。这个由利益攸关方组成的多学科小组将制作和传播一个工具包，用于实施USPSTF关于儿童肥胖症的建议，以促进循证治疗的翻译，包括提供护理和补偿政策的建议和资源。该工具包将通过出版物、在国家会议上的陈述和有针对性的教育网络研讨会以及利用伙伴组织成员网络和宣传渠道，向更广泛的儿童肥胖症利益攸关者社区传播，包括研究人员、临床医生、政策制定者和公众。随着肥胖流行的持续，这次及时而重要的会议将是朝着协同努力迈出的关键一步，以促进更多的人获得护理，改善儿童的健康结果，并减少儿童肥胖症。

 DESCRIPTION (provided by applicant): Reversing the trend of childhood obesity is critical to prevent the development of related disease, improve quality of life, and decrease the cost burden associated with a lifetime of excess weight. The United States Preventive Services Task Force (USPSTF) recommends clinicians screen children aged 6 years and older for obesity and offer or refer them to intensive counseling and behavioral interventions to promote improvements in weight status. As a grade B recommendation, these obesity treatment services are indicated for provision by providers and coverage without cost-sharing by Medicare and qualified commercial health plans. However, access to evidence-based treatment for childhood obesity remains limited. Barriers, including lack of capacity for effective delivery within the current health care system and inadequate reimbursement, impede widespread implementation of USPSTF recommended treatment. To advance evidence-based care and effectively treat childhood obesity, stakeholders must work collaboratively to develop feasible, acceptable, effective, and sustainable care delivery models supporting the USPSTF recommendations and create a unified strategy for policy change regarding reimbursement. We propose a small conference to serve as an intensive meeting of thought-leaders and stakeholders with shared investment in increasing access to effective, evidence-based childhood obesity treatment. The proposed conference will be co-sponsored by the American Academy of Pediatrics Institute for Healthy Childhood Weight, the Pediatric Obesity Section of The Obesity Society, and the Institute of Medicine's Innovation Collaborative on Integrated Clinical and Social Systems for the Prevention and Management of Obesity. To strengthen the reach and impact of conference outcomes, Robert Wood Johnson Foundation and the American Psychological Association will act as dissemination partners. Through this conference, stakeholders will assess priorities in the field of childhood obesity treatment, present promising practices and model programs, and form a collaborative strategy to: 1) improve systems of care to advance implementation of the USPSTF recommendations for childhood obesity; and 2) increase access to and payment for comprehensive and high-quality evidence-based obesity treatment. This multidisciplinary group of stakeholders will produce and disseminate a toolkit for the implementation of the USPSTF recommendations for childhood obesity to advance translation of evidence-based treatment, including recommendations and resources for care delivery and reimbursement policy. The toolkit will be disseminated to the broader community of childhood obesity stakeholders, including researchers, clinicians, policymakers, and the public, through publication, presentation at national meetings and via targeted educational webinars, and use of partner organization member networks and advocacy channels. As the obesity epidemic persists, this timely and important conference will be a key step toward synergizing efforts to facilitate greater access to care, improve health outcomes for children, and reduce childhood obesity.