Prejudice, Discrimination, and the Preferred Approach to the Patient with Obesity
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چکیده
Discrimination and prejudice against people who suffer from obesity is an unacceptable treatment environment within healthcare. In the last 10 years, prejudice against obesity has increased by 66 %. Obesity bias and discrimination is widespread both in society and among healthcare workers. In the healthcare environment, bias leads to inconsistent evaluation and management of obesity, discourages the patient from seeking care, and increases the cost of care. To eliminate bias, practitioners and staff must first identify their personal attitudes and misinformed beliefs about obesity. This can be done through the use of specific survey tools. Physicians and health care staff should adopt nonjudgmental ways of talking effectively with patients using motivational interviewing techniques (MIT) and self-determination theory. After that, a framework can be developed that provides consistent, blameless, sensitive and effective care for those patients who suffer from obesity. An important part of that unbiased framework of care is routine clinical measurements of each person’s level of obesity through the universal use of Weight Related Health Indicators (WRHI) (i.e. measurements of BMI, Waist Circumference and Body Fat Percentage). Many overweight patients are in denial or simply unaware of their level of obesity and their potential health risks. Thus, measuring and recording the patient’s WRHI and then sharing that information with the patient every time they encounter the healthcare system is of paramount importance if we want the patient to be fully informed and engaged in their own care.
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تاریخ انتشار 2017