Abstract:
BACKGROUND:Control of obesity is an important priority to reduce the burden of chronic disease. Clinical guidelines focus on the role of primary healthcare in obesity prevention. The purpose of this scoping review is to examine what the published literature indicates about the role of hospital and community based health services in adult obesity prevention in order to map the evidence and identify gaps in existing research. METHODS:Databases were searched for articles published in English between 2006 and 2016 and screened against inclusion and exclusion criteria. Further papers were highlighted through a manual search of the reference lists. Included papers evaluated interventions aimed at preventing overweight and obesity in adults that were implemented within and/or by hospital and community health services; were an empirical description of obesity prevention within a health setting or reported health staff perceptions of obesity and obesity prevention. RESULTS:The evidence supports screening for obesity of all healthcare patients, combined with referral to appropriate intervention services but indicates that health professionals do not typically adopt this practice. As well as practical issues such as time and resourcing, implementation is impacted by health professionals' views about the causes of obesity and doubts about the benefits of the health sector intervening once someone is already obese. As well as lacking confidence or knowledge about how to integrate prevention into clinical care, health professional judgements about who might benefit from prevention and negative views about effectiveness of prevention hinder the implementation of practice guidelines. This is compounded by an often prevailing view that preventing obesity is a matter of personal responsibility and choice. CONCLUSIONS:This review highlights that whilst a population health approach is important to address the complexity of obesity, it is important that the remit of health services is extended beyond medical treatment to incorporate obesity prevention through screening and referral. Further research into the role of health services in obesity prevention should take a systems approach to examine how health service structures, policy and practice interrelationships, and service delivery boundaries, processes and perspectives impact on changing models of care.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Pearce C,Rychetnik L,Wutzke S,Wilson Adoi
10.1186/s12913-019-4262-3subject
Has Abstractpub_date
2019-07-05 00:00:00pages
453issue
1issn
1472-6963pii
10.1186/s12913-019-4262-3journal_volume
19pub_type
杂志文章,评审abstract:BACKGROUND:To examine the association between rurality and health in Scotland, after adjusting for differences in individual and practice characteristics. METHODS: DESIGN:Mortality and hospital record data linked to two cross sectional health surveys. SETTING:Respondents in the community-based 1995 and 1998 Scottish...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/1472-6963-12-43
更新日期:2012-02-17 00:00:00
abstract:BACKGROUND:India has the distinction of financing its healthcare mainly through out-of-pocket expenses by individual families contributing to catastrophic health expenditure and impoverishment. Nearly 70 % of the expenditure is on medicines purchased at private pharmacies. Patients with chronic ailments are especially ...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-016-1680-3
更新日期:2016-08-22 00:00:00
abstract:BACKGROUND:There has been a substantial increase in research on mental illness related stigma over the past 10 years, with many measures in use. This study aims to review current practice in the survey measurement of mental illness stigma, prejudice and discrimination experienced by people who have personal experience ...
journal_title:BMC health services research
pub_type: 杂志文章,评审
doi:10.1186/1472-6963-10-80
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abstract:BACKGROUND:The Plan-Do-Study-Act (PDSA) method is widely used in quality improvement (QI) strategies. However, previous studies have indicated that methodological problems are frequent in PDSA-based QI projects. Furthermore, it has been difficult to establish an association between the use of PDSA and improvements in c...
journal_title:BMC health services research
pub_type: 杂志文章,meta分析
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更新日期:2019-10-04 00:00:00
abstract:BACKGROUND:Root cause analysis (RCA) originated in the manufacturing engineering sector but has been adapted for routine use in healthcare to investigate patient safety incidents and facilitate organizational learning. Despite the limitations of the RCA evidence base, healthcare authorities and decision makers in NHS S...
journal_title:BMC health services research
pub_type: 杂志文章
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更新日期:2013-02-07 00:00:00
abstract:BACKGROUND:The role of a pharmacist in primary health care settings of Pakistan is still obscure. Thus, we aimed to demonstrate the pharmacist-led improvements in glycemic, blood pressure and lipid controls in type 2 diabetes mellitus (T2DM) patients of Lahore, Pakistan. METHODS:The first open label, randomized contro...
journal_title:BMC health services research
pub_type: 杂志文章,随机对照试验
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更新日期:2019-06-24 00:00:00
abstract:BACKGROUND:Organizational readiness is a factor known to influence the predisposition of individuals within an organization to change. Based on Weiner's organizational theory, the "Organizational Readiness for Implementing Change" (ORIC) questionnaire was developed and validated to measure organizational readiness in h...
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更新日期:2019-07-31 00:00:00
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journal_title:BMC health services research
pub_type: 杂志文章,评审
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更新日期:2017-08-08 00:00:00
abstract:BACKGROUND:Is the implementation of Quality Management (QM) in health care proceeding satisfactorily and can national health care policies influence the implementation process? Policymakers and researchers in a country need to know the answer to this question. Cross country comparisons can reveal whether sufficient pro...
journal_title:BMC health services research
pub_type: 杂志文章
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journal_title:BMC health services research
pub_type: 杂志文章
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更新日期:2015-11-10 00:00:00
abstract:BACKGROUND:This study aims at gathering evidence about the relation between 30-day mortality and 30-day unplanned readmission and patient and hospital factors. By definition, we refer to 30-day mortality and 30-day unplanned readmission as the number of deaths and non-programmed hospitalizations for any cause within 30...
journal_title:BMC health services research
pub_type: 杂志文章
doi:10.1186/s12913-019-4818-2
更新日期:2019-12-30 00:00:00
abstract:BACKGROUND:The World Health Organisation has designed a pregnancy registry to investigate the effect of maternal drug use on pregnancy outcomes in resource-limited settings. In this sentinel surveillance system, detailed health and drug use data are prospectively collected from the first antenatal clinic visit until de...
journal_title:BMC health services research
pub_type: 杂志文章
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journal_title:BMC health services research
pub_type: 杂志文章
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更新日期:2016-08-12 00:00:00
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pub_type: 杂志文章
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更新日期:2017-06-12 00:00:00
abstract:BACKGROUND:Neonatal male circumcision (NMC) is an alternative approach to adult male circumcision for HIV prevention. Recent studies found that NMC was rarely performed in Thailand and that most Thai health professionals did not recognize that NMC could reduce the risk of HIV infection and would not want NMC services i...
journal_title:BMC health services research
pub_type: 杂志文章,多中心研究
doi:10.1186/s12913-018-3093-y
更新日期:2018-04-11 00:00:00
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更新日期:2007-12-03 00:00:00
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更新日期:2013-11-25 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2016-04-06 00:00:00
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更新日期:2013-06-22 00:00:00
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pub_type: 杂志文章
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