Patients' experience of accessing healthcare for obesity in Peninsular Malaysia: a qualitative descriptive study.
Nor Akma YunusGrant M RussellRosediani MuhamadElizabeth Ann SturgissPublished in: BMJ open (2023)
Patients lack the self-regulatory skills to continue their lifestyle changes and struggle with self-blame and hopelessness. Over-focusing on weight by patients and obesity healthcare increase patients' self-stigmatisation. While provider-initiated weight discussions and engaging and personalised consultation provide the initial step towards weight management, obesity healthcare could be enhanced by behavioural support and patient education on the complexity of obesity. Further considerations could be given to shifting from a weight-centric to a more holistic health-centred approach in obesity healthcare.
Keyphrases
- healthcare
- weight loss
- end stage renal disease
- metabolic syndrome
- weight gain
- type diabetes
- ejection fraction
- newly diagnosed
- insulin resistance
- chronic kidney disease
- physical activity
- body mass index
- peritoneal dialysis
- primary care
- palliative care
- transcription factor
- adipose tissue
- skeletal muscle
- social media
- health information
- quality improvement
- health insurance
- body weight