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02 16, 2018;8 (2): e019367.

Role of the family doctor in the management of adults with obesity: a scoping review.

Elizabeth A Sturgiss, Nicholas Elmitt, Emily Haesler, Chris van Weel, Kirsty A Douglas
Author Information
  1. Elizabeth A Sturgiss: Academic Unit of General Practice, Australian Nation University Medical School, Canberra, Australia. ORCID
  2. Nicholas Elmitt: Academic Unit of General Practice, Australian Nation University Medical School, Canberra, Australia.
  3. Emily Haesler: Academic Unit of General Practice, Australian Nation University Medical School, Canberra, Australia.
  4. Chris van Weel: Department of Primary and Community Care, Radboud University Medical Center, Nijmegen, Netherlands. ORCID
  5. Kirsty A Douglas: Academic Unit of General Practice, Australian Nation University Medical School, Canberra, Australia.
PMID: 29453301 DOI: 10.1136/bmjopen-2017-019367

Abstract

OBJECTIVES: Obesity management is an important issue for the international primary care community. This scoping review examines the literature describing the role of the family doctor in managing adults with obesity. The methods were prospectively published and followed Joanna Briggs Institute methodology.
SETTING: Primary care. Adult patients.
INCLUDED PAPERS: Peer-reviewed and grey literature with the keywords obesity, primary care and family doctors. All literature published up to September 2015. 3294 non-duplicate papers were identified and 225 articles included after full-text review.
PRIMARY AND SECONDARY OUTCOME MEASURES: Data were extracted on the family doctors' involvement in different aspects of management, and whether whole person and person-centred care were explicitly mentioned.
RESULTS: 110 papers described interventions in primary care and family doctors were always involved in diagnosing obesity and often in recruitment of participants. A clear description of the provider involved in an intervention was often lacking. It was difficult to determine if interventions took account of whole person and person-centredness. Most opinion papers and clinical overviews described an extensive role for the family doctor in management; in contrast, research on current practices depicted obesity as undermanaged by family doctors. International guidelines varied in their description of the role of the family doctor with a more extensive role suggested by guidelines from family medicine organisations.
CONCLUSIONS: There is a disconnect between how family doctors are involved in primary care interventions, the message in clinical overviews and opinion papers, and observed current practice of family doctors. The role of family doctors in international guidelines for obesity may reflect the strength of primary care in the originating health system. Reporting of primary care interventions could be improved by enhanced descriptions of the providers involved and explanation of how the pillars of primary care are used in intervention development.

Keywords

preventive medicine primary care

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MeSH Term

Adult
Humans
Obesity
Patient-Centered Care
Physician's Role
Physicians, Family
Practice Guidelines as Topic
Primary Health Care
Randomized Controlled Trials as Topic
Journal Article Scoping Review
Article has an altmetric score of 13

Word Cloud

Created with Highcharts 10.0.0familycareprimarydoctorsroleobesitymanagementdoctorpapersinterventionsinvolvedreviewliteratureguidelinesinternationalscopingadultspublishedwholepersondescribedoftendescriptioninterventionopinionclinicaloverviewsextensivecurrentmedicineOBJECTIVES:ObesityimportantissuecommunityexaminesdescribingmanagingmethodsprospectivelyfollowedJoannaBriggsInstitutemethodologySETTING:PrimaryAdultpatientsINCLUDEDPAPERS:Peer-reviewedgreykeywordsSeptember20153294non-duplicateidentified225articlesincludedfull-textPRIMARYANDSECONDARYOUTCOMEMEASURES:Dataextracteddoctors'involvementdifferentaspectswhetherperson-centredexplicitlymentionedRESULTS:110alwaysdiagnosingrecruitmentparticipantsclearproviderlackingdifficultdeterminetookaccountperson-centrednesscontrastresearchpracticesdepictedundermanagedInternationalvariedsuggestedorganisationsCONCLUSIONS:disconnectmessageobservedpracticemayreflectstrengthoriginatinghealthsystemReportingimprovedenhanceddescriptionsprovidersexplanationpillarsuseddevelopmentRoleobesity:preventive

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