Physicians' political party affiliation and clinical management of obesity

Autor:	Matthew N. Goldenberg, Sara N. Bleich, Kimberly A. Gudzune, Eitan D. Hersh, Anne N. Thorndike, Laura Y. Zatz
Rok vydání:	2020
Předmět:	Adult Male medicine.medical_specialty 030309 nutrition & dietetics Attitude of Health Personnel Endocrinology Diabetes and Metabolism education 030209 endocrinology & metabolism Management of obesity Physicians Primary Care 03 medical and health sciences Politics 0302 clinical medicine Secondary analysis Obesity management Medicine Humans Obesity Practice Patterns Physicians' 0303 health sciences Primary Health Care business.industry Medical record Middle Aged medicine.disease United States Cross-Sectional Studies Vignette Family medicine Time course Female business
Zdroj:	Clinical obesityREFERENCES. 10(5)
ISSN:	1758-8111
Popis:	Studies have documented that few patients with obesity receive evidence-based care. One provider characteristic that may impact clinical obesity care, but that has been under studied to date, is political party affiliation. This study sought to evaluate how primary care physicians (PCPs) report managing patients with obesity and assess whether there are differences between Democratic and Republican PCPs. This was a secondary analysis of a cross-sectional survey of 225 PCPs registered to vote as Democrats or Republicans in 29 US States. After reading a patient vignette, the PCPs reported the following outcomes: likelihood of documenting obesity in the medical record; likelihood of discussing obesity with the patient; and likelihood of engaging in eight different obesity management options. Almost all PCPs reported they would document obesity in the medical record (Republican = 97.6%, Democrat = 94.3%) and discuss it further (Republican = 95.2%, Democrat = 92.2%). Among eight obesity management options, PCPs were least likely to say they would prescribe medication (3.9%) or refer the patient to counselling (24.0%), regardless of political affiliation. Republicans were more likely to report that they would inquire about the time course of obesity (73.4% v. 56.2%, P = 0.012) and discuss health risks of obesity (91.0% vs 78.3%, P = .018). Republican and Democratic PCPs report some differences in managing patients with obesity, suggesting that political beliefs may play a role in some clinical care.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::bb76f9f44f1d3aa71bd3efce9f41f12b https://pubmed.ncbi.nlm.nih.gov/32803863 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
Nepřihlášeným uživatelům se plný text nezobrazuje	K zobrazení výsledku je třeba se přihlásit.