Bariatric surgery: a call for greater access to coordinated surgical and specialist care in the public health system

Aly, Ahmad; Talbot, Michael L.; Brown, Wendy

doi:10.5694/mja2.51673

Cited by 2 publications

(3 citation statements)

References 24 publications

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“…Within our study, referring a patient on was a viable option for FPs who didn’t feel they had the depth of knowledge, skill or time to provide optimal treatment and advice to their patients. There is however a lack of clear referral pathways or management options for patients who are willing to engage in weight management [ 46 ], and inequity in access to coordinated surgical and specialist care [ 10 ]. As such, FPs and FPNs have a personal and continuing role in maintaining continuity of care even after referral.…”

Section: Discussionmentioning

confidence: 99%

“…Obesity is a chronic and relapsing disease [ 9 ]. Medically the concept of weight homeostasis with upregulation of physiological pathways leading to hunger and a diminution of energy means that for many people, returning to a starting weight is likely [ 10 ]. We also live in a obesogenic environment characterised by continuous access to high-energy foods combined with reduced obligations for physical activity [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

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In it for the long haul: the complexities of managing overweight in family practice: qualitative thematic analysis from the Health eLiteracy for Prevention in General Practice (HeLP-GP) trial

et al. 2023

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Background Australia has one of the highest rates of overweight and obesity in the developed world, and this increasing prevalence and associated chronic disease morbidity reinforces the importance of understanding the attitudes, views, and experiences of patients and health providers towards weight management interventions and programs. The purpose of this study was to investigate patients, family practitioners and family practice nurses’ perceptions and views regarding the receipt or delivery of weight management within the context of the HeLP-GP intervention. Methods A nested qualitative study design including semi-structured interviews with family practitioners (n = 8), family practice nurses (n = 4), and patients (n = 25) attending family practices in New South Wales (n = 2) and South Australia (n = 2). The patient interviews sought specific feedback about each aspect of the intervention and the provider interviews sought to elicit their understanding and opinions of the strategies underpinning the intervention as well as general perceptions about providing weight management to their patients. Interviews were recorded and transcribed verbatim, and coding and management conducted using NVivo 12 Pro. We analysed the interview data using thematic analysis. Results Our study identified three key themes: long-term trusting and supportive relationships (being ‘in it for the long haul’); initiating conversations and understanding motivations; and ensuring access to multi-modal weight management options that acknowledge differing levels of health literacy. The three themes infer that weight management in family practice with patients who are overweight or obese is challenged by the complexity of the task and the perceived motivation of patients. It needs to be facilitated by positive open communication and programs tailored to patient needs, preferences, and health literacy to be successful. Conclusions Providing positive weight management in family practice requires ongoing commitment and an open and trusting therapeutic relationship between providers and patients. Behaviour change can be achieved through timely and considered interactions that target individual preferences, are tailored to health literacy, and are consistent and positive in their messaging. Ongoing support of family practices is required through funding and policy changes and additional avenues for referral and adjunctive interventions are required to provide comprehensive weight management within this setting.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

In it for the long haul: the complexities of managing overweight in family practice: qualitative thematic analysis from the Health eLiteracy for Prevention in General Practice (HeLP-GP) trial

et al. 2023

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“…This differentiation is important since there are just 500 (3.11% of 16 047) 3 primary procedures performed in limited number of public hospitals (24 in 2019). 5 Considering hospital threshold for high volume is >120 operations annually, there would be very few (if any) participating public hospital that qualifies as high volume.…”

mentioning

confidence: 99%

Complexities of bariatric surgery funding and registry capture limits LOS conclusion applicability

Goh

2024

ANZ Journal of Surgery

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Bariatric surgery: a call for greater access to coordinated surgical and specialist care in the public health system

Cited by 2 publications

References 24 publications

In it for the long haul: the complexities of managing overweight in family practice: qualitative thematic analysis from the Health eLiteracy for Prevention in General Practice (HeLP-GP) trial

In it for the long haul: the complexities of managing overweight in family practice: qualitative thematic analysis from the Health eLiteracy for Prevention in General Practice (HeLP-GP) trial

Complexities of bariatric surgery funding and registry capture limits LOS conclusion applicability

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