Association between obesity and patient-centered measures using the medical expenditure panel survey

被引:1
作者
Batsis, John A. [1 ,2 ,3 ,4 ,5 ,6 ]
Lohman, Matthew C. [7 ]
Fortuna, Karen L. [2 ,3 ,4 ,5 ]
Liu, Stephen K. [1 ,2 ,3 ]
Bartels, Stephen J. [2 ,3 ,4 ,5 ]
机构
[1] Dartmouth Hitchcock Med Ctr, Sect Gen Internal Med, 1 Med Ctr Dr, Lebanon, NH 03766 USA
[2] Geisel Sch Med Dartmouth, Hanover, NH USA
[3] Dartmouth Inst Hlth Policy & Clin, Lebanon, NH USA
[4] Dartmouth Coll, Dartmouth Ctr Hlth & Aging, Hanover, NH 03755 USA
[5] Hlth Promot Res Ctr Dartmouth, Lebanon, NH USA
[6] Dartmouth Weight & Wellness Ctr, Lebanon, NH USA
[7] Univ South Carolina, Sch Publ Hlth, Columbia, SC USA
基金
美国国家卫生研究院;
关键词
Obesity; Aging; Quality; Patient-centered outcomes; OLDER-ADULTS; CARE; OUTCOMES; HEALTH; IMPACT; MASS;
D O I
10.1016/j.orcp.2018.07.009
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Patient-centeredness is an important factor in patient health and engagement but its association in patients with obesity is not thoroughly understood. Of 28,854 participants aged >60 from the Medical Expenditure Panel Survey 2004-2013, we evaluated four patient-centered domains: patient/provider relationship, shared-decision making, access to care, overall medical care provider rating, and prescription care. Weighted logistic (OR [95% CI]) and linear (beta +/- s.e.; p value) regression models demonstrated that participants as having obesity reported a marginally higher delay in getting the necessary care than healthy BMI (OR 1.25 [1.01, 1.53]). Older adults with obesity report reduced perceived access to care. (C) 2018 Published by Elsevier Ltd on behalf of Asia Oceania Association for the Study of Obesity.
引用
收藏
页码:485 / 489
页数:5
相关论文
共 17 条
[1]   Diagnostic accuracy of body mass index to identify obesity in older adults: NHANES 1999-2004 [J].
Batsis, J. A. ;
Mackenzie, T. A. ;
Bartels, S. J. ;
Sahakyan, K. R. ;
Somers, V. K. ;
Lopez-Jimenez, F. .
INTERNATIONAL JOURNAL OF OBESITY, 2016, 40 (05) :761-767
[2]  
Batsis JA, CARDIOVASCULAR RISK
[3]   Addressing Obesity in Aging Patients [J].
Batsis, John A. ;
Zagaria, Alexandra B. .
MEDICAL CLINICS OF NORTH AMERICA, 2018, 102 (01) :65-+
[4]   Weight Loss Interventions in Older Adults with Obesity: A Systematic Review of Randomized Controlled Trials Since 2005 [J].
Batsis, John A. ;
Gill, Lydia E. ;
Masutani, Rebecca K. ;
Adachi-Mejia, Anna M. ;
Blunt, Heather B. ;
Bagley, Pamela J. ;
Lopez-Jimenez, Francisco ;
Bartels, Stephen J. .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2017, 65 (02) :257-268
[5]   Challenges with the Medicare Obesity Benefit: Practical Concerns & Proposed Solutions [J].
Batsis, John A. ;
Huyck, Karen L. ;
Bartels, Stephen J. .
JOURNAL OF GENERAL INTERNAL MEDICINE, 2015, 30 (01) :118-122
[6]   Variation in the Prevalence of Sarcopenia and Sarcopenic Obesity in Older Adults Associated with Different Research Definitions: Dual-Energy X-Ray Absorptiometry Data from the National Health and Nutrition Examination Survey 1999-2004 [J].
Batsis, John A. ;
Barre, Laura K. ;
Mackenzie, Todd A. ;
Pratt, Sarah I. ;
Lopez-Jimenez, Francisco ;
Bartels, Stephen J. .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2013, 61 (06) :974-980
[7]   Trends in Obesity Among Adults in the United States, 2005 to 2014 [J].
Flegal, Katherine M. ;
Kruszon-Moran, Deanna ;
Carroll, Margaret D. ;
Fryar, Cheryl D. ;
Ogden, Cynthia L. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2016, 315 (21) :2284-2291
[8]   AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS AND AMERICAN COLLEGE OF ENDOCRINOLOGY COMPREHENSIVE CLINICAL PRACTICE GUIDELINES FOR MEDICAL CARE OF PATIENTS WITH OBESITY [J].
Garvey, W. Timothy ;
Mechanick, Jeffrey I. ;
Brett, Elise M. ;
Garber, Alan J. ;
Hurley, Daniel L. ;
Jastreboff, Ania M. ;
Nadolsky, Karl ;
Pessah-Pollack, Rachel ;
Plodkowski, Raymond .
ENDOCRINE PRACTICE, 2016, 22 :1-203
[9]   Secular trends in cardiovascular disease risk factors according to body mass index in US adults [J].
Gregg, EW ;
Cheng, YLJ ;
Cadwell, BL ;
Imperatore, G ;
Williams, DE ;
Flegal, KM ;
Narayan, KMV ;
Williamson, DF .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2005, 293 (15) :1868-1874
[10]   Impact of weight bias and stigma on quality of care and outcomes for patients with obesity [J].
Phelan, S. M. ;
Burgess, D. J. ;
Yeazel, M. W. ;
Hellerstedt, W. L. ;
Griffin, J. M. ;
van Ryn, M. .
OBESITY REVIEWS, 2015, 16 (04) :319-326