对初级保健医生转介行为减肥咨询的评估。

IF 3 Q1 PRIMARY HEALTH CARE
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
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引用次数: 0

摘要

前言/目的:在将来自初级保健实践的患者纳入减肥研究的背景下,本研究描述了初级保健临床医生(PCCs)认为适合转诊的患者百分比和转诊患者的研究参与率。方法:一项电子健康记录综述确定了5322名年龄在18至75岁之间、BMI≥30 kg/m2的患者,这些患者有资格接受社区、主治医生和居民PCCs的审查,以转介到一项减肥研究。转诊和患者参与研究的兴趣是总体报告和PCC类型。结果:平均(SD)年龄为53.1(13.9)岁,平均BMI为36.5 (6.2)kg/m2,男性占41.5%,非裔美国人占30.9%。PCCs回顾了3882例患者,并将2762例(71.1%)纳入研究。在未转诊的1120例患者中,260例(23.2%)对PCCs了解不够,无法评估转诊。不转诊的最常见原因包括合并症过多(171例,15.3%)、心理原因(170例,15.2%)和非英语国家(125例,11.2%)。在1897名受邀参与的患者中,676名(35.6%)表示感兴趣,360名(19.0%)入选。结论:PCCs转诊率为71.1%。在这些被提及的人中,参与的兴趣不大,入学率很低。试验注册:ClinicalTrials.gov标识符:NCT04302727。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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.

Trial registration: ClinicalTrials.gov Identifier: NCT04302727.

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来源期刊
CiteScore
4.80
自引率
2.80%
发文量
183
审稿时长
15 weeks
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