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[Barriers to access treatment for eating disorders: Literature review]. / Barreras de acceso a tratamiento en Trastornos de la Conducta Alimentaria: Una revisión de la literatura.
Castañeda, Felipe; Riestra, Francisca; Cerda, Jaime.
Afiliação
  • Castañeda F; Escuela de Medicina, Universidad Católica de Chile, Santiago, Chile.
  • Riestra F; Escuela de Medicina, Universidad Católica de Chile, Santiago, Chile.
  • Cerda J; Escuela de Medicina, Universidad Católica de Chile, Santiago, Chile.
Rev Med Chil ; 151(12): 1613-1622, 2023 Dec.
Article em Es | MEDLINE | ID: mdl-39270083
ABSTRACT

BACKGROUND:

Eating disorders (EDs) are disabling, potentially fatal, and costly mental disorders. According to recent data, Chile has the highest prevalence of both anorexia nervosa (AN) and bulimia nervosa (BN) in Latin America. However, there is no published data regarding the barriers experienced by patients with EDs in Chile until they start treatment.

AIM:

To review and synthesize the literature regarding barriers to access to treatment for patients with EDs.

METHODS:

A search was conducted through PubMed/ Medline, PsychInfo, Web of Science, Scopus, Embase, Scielo, and Google Scholar. Seventy-two studies were selected for full-text reading.

RESULTS:

53 studies were included, all conducted in developed countries. A wide range of barriers was found, which can be classified according to their role. These barriers were predominantly at the level of the patient with an ED, the family and social environment, the health professionals, the sociocultural context, and the healthcare system. The barriers most commonly found in studies were the patient's ego-syntonic behaviors and the social stigma associated with EDs.

DISCUSSION:

The national context calls for discussing access problems in patients with EDs in Chile. The barriers found in this study should be considered when designing public policies, although the role of the cost of treatment should be more emphasized in Chile.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos da Alimentação e da Ingestão de Alimentos / Acessibilidade aos Serviços de Saúde Limite: Humans País/Região como assunto: America do sul / Chile Idioma: Es Revista: Rev Med Chil Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Chile País de publicação: Chile

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos da Alimentação e da Ingestão de Alimentos / Acessibilidade aos Serviços de Saúde Limite: Humans País/Região como assunto: America do sul / Chile Idioma: Es Revista: Rev Med Chil Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Chile País de publicação: Chile