Dietitian–general practitioner interface: a pilot study on what influences the provision of effective nutrition management

Nicholas, Lisa; Pond, Constance Dimity; Roberts, David C.

doi:10.1093/ajcn/77.4.1039s

Cited by 48 publications

(41 citation statements)

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“…GPs reported several reasons for not talking about weight, with lack of time as the most important cause. This result was in keeping with the findings of other studies [17, 26] and comprehensible with the fact that Dutch GPs are paid per patient by the primary health care insurance cover, based on an average consultation time of 10 minutes [36]. However, by preventing weight-related diseases by means of optimal weight management, it is presumable that by referring to a weight management specialist, GPs could save time in the end.…”

Section: Discussionsupporting

confidence: 88%

“…Mathus-Vliegen et al reported that because of some GPs’ negative attitude to dietitians, they often do not refer patients with obesity to these health care providers [24]. Moreover, problems with interdisciplinary communication impede GPs from referring overweight and obese patients [17, 24, 25]. Costs involved with dietary treatment were cited as a further inhibiting factor in referring patients to other health care providers for nutrition and/or dietary advice [26].…”

Section: Introductionmentioning

confidence: 99%

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Dutch General Practitioners’ weight management policy for overweight and obese patients

et al. 2014

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BackgroundGeneral practitioners (GPs) can play an important role in both the prevention and management of overweight and obesity. Current general practice guidelines in the Netherlands allow room for GPs to execute their own weight management policy.ObjectiveTo examine GPs’ current weight management policy and the factors associated with this policy.Methods800 Dutch GPs were asked to complete a questionnaire in December 2012. The questionnaire items were based on the Dutch Obesity Standard for GPs. The data were analyzed by means of descriptive statistics and multiple linear regression analyses in 2013.ResultsIn total, 307 GPs (39.0%) responded. Most respondents (82.9%) considered weight management as part of their responsibility for providing care. GPs aged <48 years discussed weight less frequent. Next, weight is less frequently discussed with patients without weight-related comorbidities or with moderately overweight patients compared to obese patients. On average, 47.7% of the GPs reported to refer obese patients to a weight management professional, preferably a dietitian (98.3%). GPs with a BMI ≥ 25 kg/m2 were less likely to refer obese patients. In addition, GPs who had frequent contact with a dietitian were more likely to refer obese patients.ConclusionsIn the context of General Practice and preventive medicine, GPs’ discussion of weight and the variety of obesity-determinants with their moderately overweight patients deserves more attention, especially from younger GPs. Strengthening interdisciplinary collaboration between GPs and dietitians could increase the referral percentage for dietary treatment.Electronic supplementary materialThe online version of this article (doi:10.1186/2052-9538-1-2) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Dutch General Practitioners’ weight management policy for overweight and obese patients

et al. 2014

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“…General practitioners report lack of patient desire and long waiting lists as important barriers for referral (Nicholas et al, 2003). Furthermore, general practitioners and dieticians disagree on the level of autonomy dieticians should have in the decision-making process around patients' nutrition care (Gaare et al, 1990).…”

Section: Collaboration With Dieticiansmentioning

confidence: 99%

Potentials and pitfalls for nutrition counselling in general practice

et al. 2005

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“…These include lack of time, lack of training in behaviour change, 155 a belief that patients will not follow their advice, a lack of reimbursement for counselling and inadequate teaching materials. 156 As described in Chapter 4, despite our best efforts to address all of these in the interventions we designed and the support we provided, these barriers are highly resistant to change.…”

Section: Primary Care As a Setting Promotion Of Behaviour Change In Gmentioning

confidence: 99%

LIFELAX – diet and LIFEstyle versus LAXatives in the management of chronic constipation in older people: randomised controlled trial

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Heaven²,

Adamson³

et al. 2010

Health Technol Assess

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How to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address. Paying by credit cardYou can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume. How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA LIFELAX -diet and LIFEstyle versus Health Technology Assessment is indexed and abstracted in Index Medicus/MEDLINE, Excerpta Medica/EMBASE, Science Citation Index Expanded (SciSearch NIHR Health Technology Assessment programmeT he Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a ...

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Dietitian–general practitioner interface: a pilot study on what influences the provision of effective nutrition management

Abstract: The differing responses suggest that more research is required to understand what influences patient nutrition management by GPs and dietitians in Australia.

Cited by 48 publications

References 10 publications

Dutch General Practitioners’ weight management policy for overweight and obese patients

Dutch General Practitioners’ weight management policy for overweight and obese patients

Potentials and pitfalls for nutrition counselling in general practice

LIFELAX – diet and LIFEstyle versus LAXatives in the management of chronic constipation in older people: randomised controlled trial

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