From: Family physician attitudes in managing obesity: a cross-sectional survey study
Theme | Frequency of mention | Comments |
---|---|---|
Better Interventions Needed to Treat Obesity | 40 | Poor access to bariatric surgery, few other manageable alternatives |
Poor Reimbursement for Management of Obesity | 35 | Counseling, preventive services often not covered in primary care |
Obesogenic Environment | 30 | The "built environment" encourages obesity |
Inadequate Time for Management of Obesity | 28 | Too many other distractions |
Better Access and/or Reimbursement to Fitness/Coaches/Dieticians Needed | 25 | Better integration of non-physician support needed |
The Patient is to Blame for Their Obesity | 16 | Overeating, restaurant eating, laziness |
Better Referral Systems are Needed to Manage Obesity | 14 | Few pathways to bariatrics, dieticians, etc. |
Screening is Non-Issue | 13 | Screening already performed well-enough - treatment is the difficulty |
Futility of Attempts to Manage Obesity | 8 | Relates to both patient blame and to lack of time and referral pathways |
Better Guidelines Needed for Obesity Management | 6 | Existing guidelines not realistic for practice |
Better Patient Education Materials Needed for Obesity Management | 6 | Including culturally appropriate education materials |
Group Visits Needed to Treat Obesity | 4 | Suggested; no clear indication whether these were implemented. |
Better Screening Tools Needed to Identify Obesity | 4 | Related to general dissatisfaction with existing screening & management tools |
Better Goal Setting Needed to Manage Obesity | 2 | Related to guidelines & educational materials |
Better Physician Training Needed in Obesity Management | 2 | Similar to need for better guidelines |
Discomfort of Physicians with Subject of Obesity | 2 | Not wanting to cross a barrier with patient. |
General difficulty with topic | 2 | It is difficult to convince patients of the problem and to get to new |
Staffing | 2 | Staff assistance is needed |
Bariatric Surgery Endorsement | 1 | "surgery works" |
Fatalism | 1 | "childhood determines risk" |
Difficulty in Management | 1 | "paperwork" |