Access to publicly funded weight management services in England using routine data from primary and secondary care (2007-2020): An observational cohort study.
Karen D CoulmanRuta MargelyteTimothy JonesJane M BlazebyJohn MacleodAmanda Owen-SmithHelen ParrettiRichard WelbournMaria Theresa RedanielAndrew JudgePublished in: PLoS medicine (2023)
Between 2007 and 2020, a very small percentage of the primary care population eligible for WM referral or bariatric surgery according to national guidance received either. Higher BMI and GP practice region had the strongest associations with both. Regional inequalities may reflect differences in commissioning and provision of WM services across the country. Multi-stakeholder qualitative research is ongoing to understand the barriers to accessing WM services and potential solutions. Together with population-wide prevention strategies, improved access to WM interventions is needed to reduce obesity levels.
Keyphrases
- primary care
- healthcare
- weight loss
- bariatric surgery
- weight gain
- quality improvement
- body mass index
- physical activity
- palliative care
- general practice
- type diabetes
- metabolic syndrome
- insulin resistance
- affordable care act
- mental health
- obese patients
- electronic health record
- clinical practice
- pain management
- high fat diet induced
- skeletal muscle
- human health
- health insurance