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Lessons learned from patients' weight-related medical encounters: Results from 34 interviews.
Philip, Samantha R; Phelan, Sean M; Standen, Erin C; Salinas, Manisha; Eggington, Jason S; Kumbamu, Ashok; Karuppana, Suganya; White, Richard O.
Afiliación
  • Philip SR; Department of Psychological and Brain Sciences, Texas A&M University, College Station, TX, USA. Electronic address: srphilip@tamu.edu.
  • Phelan SM; Health Care Delivery Research, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA.
  • Standen EC; Health Care Delivery Research, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA.
  • Salinas M; Department of Community Internal Medicine, Mayo Clinic, Jacksonville, FL, USA.
  • Eggington JS; Health Care Delivery Research, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA.
  • Kumbamu A; Health Care Delivery Research, Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA.
  • Karuppana S; Department of Family Medicine, Adelante Healthcare, Phoenix, AZ, USA.
  • White RO; Department of Community Internal Medicine, Mayo Clinic, Jacksonville, FL, USA.
Patient Educ Couns ; 127: 108336, 2024 Oct.
Article en En | MEDLINE | ID: mdl-38924978
ABSTRACT

OBJECTIVES:

How to best care for larger-bodied patients is a complicated issue in modern medicine. The present study seeks to inform current medical practices to ensure the delivery of high-quality and evidence-based care through the examination of higher-weight patients' experiences with weight-related care.

METHODS:

Higher-weight patients (N = 34) completed semi-structured interviews about their experiences and recommendations for weight-related care. Interviews were coded by two independent coders and harmonized. Findings were organized into broad domains of 1) negative care experiences and 2) positive care experiences and recommendations.

RESULTS:

Patients described a range of negative care experiences, including stigmatization from providers (e.g., rude, attacking, or insulting communication about weight), while concurrently expressing insufficient weight management support from providers. Positive care experiences and recommendations included patient-centered care (e.g., physician humility and empathy) and attending to the patient's weight, which conveyed concern for the patient.

CONCLUSIONS:

Our findings reflect patients' ambivalent attitudes toward weight-related care while weight-focused provider communication can be highly stigmatizing, patients simultaneously desire more weight-management support from providers. PRACTICE IMPLICATIONS Providers who wish to move their practices from a weight-loss focus to one targeting healthy living should provide a rationale for these shifts to inform patients' perceptions of high-quality care.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Relaciones Médico-Paciente / Entrevistas como Asunto / Atención Dirigida al Paciente / Investigación Cualitativa Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Patient Educ Couns Año: 2024 Tipo del documento: Article Pais de publicación: Irlanda
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Relaciones Médico-Paciente / Entrevistas como Asunto / Atención Dirigida al Paciente / Investigación Cualitativa Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Patient Educ Couns Año: 2024 Tipo del documento: Article Pais de publicación: Irlanda