Abstract:
BACKGROUND:The prevalence of childhood obesity is rising and the UK Government have stated a commitment to addressing obesity in general. One method has been to include indicators relating to obesity within the GP pay-for-performance Quality and Outcomes Framework (QOF) contract. This study aimed to explore general practitioners' and practice nurses' views in relation to their role in treating childhood obesity. METHODS:We interviewed eighteen practitioners (twelve GPs and six nurses) who worked in general practices contracting with Rotherham Primary Care Trust. Interviews were face to face and semi structured. The transcribed data were analysed using framework analysis. RESULTS:GPs and practice nurses felt that their role was to raise the issue of a child's weight, but that ultimately obesity was a social and family problem. Time constraint, lack of training and lack of resources were identified as important barriers to addressing childhood obesity. There was concern that the clinician-patient relationship could be adversely affected by discussing what was often seen as a sensitive topic. GPs and practice nurses felt ill-equipped to tackle childhood obesity given the lack of evidence for effective interventions, and were sceptical that providing diet and exercise advice would have any impact upon a child's weight. CONCLUSION:GPs and practice nurses felt that their role in obesity management was centred upon raising the issue of a child's weight, and providing basic diet and exercise advice. Clinicians may find it difficult to make a significant impact on childhood obesity while the evidence base for effective management remains poor. Until the lack of effective interventions is addressed, implementing additional targets (for example through the QOF) may not be effective.
journal_name
BMC Fam Practjournal_title
BMC family practiceauthors
Walker O,Strong M,Atchinson R,Saunders J,Abbott Jdoi
10.1186/1471-2296-8-50subject
Has Abstractpub_date
2007-09-03 00:00:00pages
50issn
1471-2296pii
1471-2296-8-50journal_volume
8pub_type
杂志文章abstract:BACKGROUND:Assessing the cost effectiveness of training aimed at increasing general practitioners' (GP) work awareness and patients' work-related self-efficacy and quality of life. METHODS:A cluster randomized controlled trial in twenty-six GP practices in the southeast of the Netherlands with 32 participating GPs. GP...
journal_title:BMC family practice
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12875-019-0924-9
更新日期:2019-03-02 00:00:00
abstract:BACKGROUND:Many tools exist to guide family physicians' impressions about frailty status of older adults, but no single tool, instrument, or set of criteria has emerged as most useful. The role of physicians' subjective impressions in frailty decisions has not been studied. This study explores how family physicians con...
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pub_type: 杂志文章
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更新日期:2018-05-14 00:00:00
abstract:BACKGROUND:General Practitioners (GPs) employ strategies to identify and retrieve medical evidence for clinical decision making which take workload and time constraints into account. Optimal Foraging Theory (OFT) initially developed to study animal foraging for food is used to explore the information searching behaviou...
journal_title:BMC family practice
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更新日期:2011-08-23 00:00:00
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journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/s12875-015-0376-9
更新日期:2015-10-28 00:00:00
abstract:BACKGROUND:Multimorbidity poses a challenge for decision-making processes and requires that more attention is paid to patient goals, preferences and needs; however, goal setting is not yet widely recognised as a core aspect of the shared decision-making (SDM) approach. This study aims to analyse clinician perceptions o...
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更新日期:2019-06-06 00:00:00
abstract:BACKGROUND:Patients vary widely when making decisions to consult primary care. Some present frequently with trivial illness: others delay with serious disease. Differences in health service provision may play a part in this. We aimed to explore whether and how patients' consulting intentions take account of their perce...
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abstract:BACKGROUND:The prevalence and impact of long term conditions continues to rise. Care planning for people with long term conditions has been a policy priority in England for chronic disease management. However, it is not clear how care planning is currently understood, translated and implemented in primary care. This st...
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pub_type: 杂志文章
doi:10.1186/1471-2296-13-71
更新日期:2012-07-25 00:00:00
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pub_type: 杂志文章
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更新日期:2014-01-10 00:00:00
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pub_type: 杂志文章
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更新日期:2013-09-16 00:00:00
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pub_type: 杂志文章
doi:10.1186/1471-2296-10-13
更新日期:2009-02-08 00:00:00
abstract:BACKGROUND:Fax referral services that connect smokers to state quitlines have been implemented in 49 U.S. states and territories and promoted as a simple solution to improving smoker assistance in medical practice. This study is an in-depth examination of the systems-level changes needed to implement and sustain a fax ...
journal_title:BMC family practice
pub_type: 杂志文章
doi:10.1186/1471-2296-10-81
更新日期:2009-12-17 00:00:00
abstract:BACKGROUND:Symptoms of cancer may be interpreted differently by different patients before the diagnosis. This study investigated symptom attributions in Danish patients with colorectal cancer and the potential associations with symptom type, socio-demographic characteristics and patient interval. METHODS:Data were col...
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更新日期:2015-09-03 00:00:00
abstract:BACKGROUND:The Electronic Health Record (EHR) is now widely used in clinical encounters. Because its use can negatively impact the physician-patient relationship, several recommendations on the "patient-centered" use of the EHR have been published. However, the impact of training to improve EHR use during clinical enco...
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pub_type: 杂志文章
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更新日期:2017-05-26 00:00:00
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更新日期:2013-03-18 00:00:00
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pub_type: 杂志文章
doi:10.1186/1471-2296-15-162
更新日期:2014-09-26 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2011-09-28 00:00:00
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pub_type: 杂志文章
doi:10.1186/1471-2296-11-96
更新日期:2010-12-03 00:00:00
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pub_type: 杂志文章
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更新日期:2010-03-05 00:00:00
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pub_type: 历史文章,杂志文章
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更新日期:2010-01-05 00:00:00
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pub_type: 杂志文章
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更新日期:2006-02-07 00:00:00
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pub_type: 杂志文章
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更新日期:2003-03-27 00:00:00
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更新日期:2017-04-05 00:00:00
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更新日期:2013-11-14 00:00:00
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pub_type: 杂志文章
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更新日期:2006-05-24 00:00:00