Veeral M Saraiya, Seth A Berkowitz, Larry F Johnston, David J Couper, Daniela Sotres-Alvarez, Kiira M Lyons, Cheyenne K Thaxton, Harlyn G Skinner, Carmen D Samuel-Hodge, Thomas C Keyserling
{"title":"对初级保健医生转介行为减肥咨询的评估。","authors":"Veeral M Saraiya, Seth A Berkowitz, Larry F Johnston, David J Couper, Daniela Sotres-Alvarez, Kiira M Lyons, Cheyenne K Thaxton, Harlyn G Skinner, Carmen D Samuel-Hodge, Thomas C Keyserling","doi":"10.1177/21501319241308054","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction/objectives: </strong>In the context of enrolling patients from primary care practices into a weight loss research study, this study describes the percentage of patients primary care clinicians (PCCs) considered appropriate for referral and study participation rates among those referred.</p><p><strong>Methods: </strong>An electronic health record review identified 5322 patients aged 18 to 75 years with BMI ≥ 30 kg/m<sup>2</sup> as eligible for review by community, attending, and resident PCCs for referral to a weight loss study. Referrals and patient interest in participating in the study are reported overall and by PCC type.</p><p><strong>Results: </strong>The mean (SD) age was 53.1 (13.9) years, mean BMI 36.5 (6.2) kg/m<sup>2</sup>, 41.5% were male, and 30.9% were African American. PCCs reviewed 3882 patients and referred 2762 (71.1%) to the study. Of 1120 not referred, 260 (23.2%) were not known well enough by PCCs to assess for referral. The most common reasons for not referring included too much comorbidity (171, 15.3%), psychological reasons (170, 15.2%), and non-English speaking (125, 11.2%). Among 1897 patients invited to participate, 676 (35.6%) expressed interest and 360 (19.0%) were enrolled.</p><p><strong>Conclusions: </strong>PCCs referred 71.1% of their eligible patients. Among those referred, interest in participation was modest and enrollment was low.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov Identifier: NCT04302727.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"15 ","pages":"21501319241308054"},"PeriodicalIF":3.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653456/pdf/","citationCount":"0","resultStr":"{\"title\":\"An Evaluation of Primary Care Clinician Referrals for Behavioral Weight Loss Counseling.\",\"authors\":\"Veeral M Saraiya, Seth A Berkowitz, Larry F Johnston, David J Couper, Daniela Sotres-Alvarez, Kiira M Lyons, Cheyenne K Thaxton, Harlyn G Skinner, Carmen D Samuel-Hodge, Thomas C Keyserling\",\"doi\":\"10.1177/21501319241308054\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction/objectives: </strong>In the context of enrolling patients from primary care practices into a weight loss research study, this study describes the percentage of patients primary care clinicians (PCCs) considered appropriate for referral and study participation rates among those referred.</p><p><strong>Methods: </strong>An electronic health record review identified 5322 patients aged 18 to 75 years with BMI ≥ 30 kg/m<sup>2</sup> as eligible for review by community, attending, and resident PCCs for referral to a weight loss study. Referrals and patient interest in participating in the study are reported overall and by PCC type.</p><p><strong>Results: </strong>The mean (SD) age was 53.1 (13.9) years, mean BMI 36.5 (6.2) kg/m<sup>2</sup>, 41.5% were male, and 30.9% were African American. PCCs reviewed 3882 patients and referred 2762 (71.1%) to the study. Of 1120 not referred, 260 (23.2%) were not known well enough by PCCs to assess for referral. The most common reasons for not referring included too much comorbidity (171, 15.3%), psychological reasons (170, 15.2%), and non-English speaking (125, 11.2%). Among 1897 patients invited to participate, 676 (35.6%) expressed interest and 360 (19.0%) were enrolled.</p><p><strong>Conclusions: </strong>PCCs referred 71.1% of their eligible patients. Among those referred, interest in participation was modest and enrollment was low.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov Identifier: NCT04302727.</p>\",\"PeriodicalId\":46723,\"journal\":{\"name\":\"Journal of Primary Care and Community Health\",\"volume\":\"15 \",\"pages\":\"21501319241308054\"},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653456/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Primary Care and Community Health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/21501319241308054\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PRIMARY HEALTH CARE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Primary Care and Community Health","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/21501319241308054","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PRIMARY HEALTH CARE","Score":null,"Total":0}
An Evaluation of Primary Care Clinician Referrals for Behavioral Weight Loss Counseling.
Introduction/objectives: In the context of enrolling patients from primary care practices into a weight loss research study, this study describes the percentage of patients primary care clinicians (PCCs) considered appropriate for referral and study participation rates among those referred.
Methods: An electronic health record review identified 5322 patients aged 18 to 75 years with BMI ≥ 30 kg/m2 as eligible for review by community, attending, and resident PCCs for referral to a weight loss study. Referrals and patient interest in participating in the study are reported overall and by PCC type.
Results: The mean (SD) age was 53.1 (13.9) years, mean BMI 36.5 (6.2) kg/m2, 41.5% were male, and 30.9% were African American. PCCs reviewed 3882 patients and referred 2762 (71.1%) to the study. Of 1120 not referred, 260 (23.2%) were not known well enough by PCCs to assess for referral. The most common reasons for not referring included too much comorbidity (171, 15.3%), psychological reasons (170, 15.2%), and non-English speaking (125, 11.2%). Among 1897 patients invited to participate, 676 (35.6%) expressed interest and 360 (19.0%) were enrolled.
Conclusions: PCCs referred 71.1% of their eligible patients. Among those referred, interest in participation was modest and enrollment was low.