医生的偏见对肥胖的人是真正的和需要停下来, 研究称

美国的肥胖率超过 37 %, 骨科教育工作者尝试去改变心态的医生有肥胖的人的消极态度,以此来遏制肥胖.

An educational initiative at Touro University College of Osteopathic Medicine is reducing medical studentsnegative attitudes toward people with obesity, a finding researchers hope will translate into better outcomes for patients struggling with weight, according to research published in The Journal of the American Osteopathic Association.

Drawing a parallel to the medical community’s approach to common mental illnesses, researchers suggest that shifting physiciansperspective from individual responsibility to a treatable condition may finally slow decades of rising obesity rates.

We know there are economic, cultural, political and environmental elements causing this problem, yet our approach to treatment puts sole responsibility on the patient’s behavior,” says Michael Clearfield, DO, Dean of Touro University’s College of Osteopathic Medicine. “It’s not unlike the way we treated depression 40 years ago. 只有, instead of telling people to ‘get over it’, we say, ‘just eat right and exercise.'

The curriculum, which launched in 2012, measures medical studentsattitudes on the Fat Phobia Scale, which identifies biased beliefs in stereotypes, such as obese people are “懒” and havepoor self-control”.

The students then received instruction on the causes and treatments of obesity, with follow up testing on their knowledge and attitudes toward obesity for every year of medical school. Those who completed the program significantly reduced their bias by an average of 7 %.

Changing hearts and minds

博士. Clearfield noted that confronting physiciansconscious and unconscious biases may change the dynamic for their patients.

Sometimes physicians don’t believe that obese people will take care of themselves, so they spend less time with them and, 作为一个结果, they miss things in their examinations,” 博士说. Clearfield.

He adds that patients pick up on physiciansattitudes and feel embarrassed and unwelcome, and so they often stop following medical advice and maybe stop going in for checkups all-together.

Touro University’s obesity education curriculum focuses on the complexities of obesity, with diet being only one contributing factor. The curriculum also emphasizes a focus on attaining health instead of weight loss, as well as the recognition of incremental improvements.

With an improved diet, we can get measurably healthier in just 7 自 10 天. From an osteopathic perspective, we need to acknowledge the importance of those small steps so physicians don’t give up on patients and patients don’t give up on themselves.

Based on the results from the four year study, Touro plans to expand its curriculum to an online platform, making it available to other medical schools and residency programs. 最终, they intend to study its impact on patient outcomes.

An alarming history Back in 2000, the obesity rate in the U.S. went from 15 %–where it had been for decadesto nearly 23 %. Despite two decade-long government programs focused on encouraging weight loss, the rate has steadily risen to between 37 和 38 %.

博士. Clearfield sees this as evidence for physicians to reconsider their approach. “I think it’s pretty obvious that what we’ve been doing isn’t working.

来源: American Osteopathic Association
杂志: The Journal of the American Osteopathic Association
相关期刊论文: Fundamentals for an Osteopathic Obesity Designed Study: The Effects of Education on Osteopathic Medical Students’ Attitudes Regarding Obesity

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