地域医療と健康教育

抽象的な

General Practitioners’ Perceptions with Regard to their Role in a Multidisciplinary Approach of Childhood Overweight

van den Brekel K, Bakker J, Rutten GEHM, Vos RC

Background: Childhood overweight and obesity are a worldwide problem. In Utrecht, the Netherlands a pilot for a multidisciplinary approach with a coordinating healthcare provider will be implemented. Before the pilot starts, the opinions of the general practitioners in the pilot area will be studied, because their collaboration is important.
Aim: To obtain insight in the perceptions of general practitioners (GPs) with regard to their role in a multidisciplinary approach of childhood overweight.
Design and Setting: Survey; 36 GPs, selected by convenience sampling from two districts in Utrecht.
Methods: Mixed methods; self-developed questionnaires based on face validity and semi-structured interviews with GPs were conducted about their role in a multidisciplinary approach. Descriptive statistics were used to analyse data collected by the questionnaire.
Results: Twenty-nine (81%) of the GPs filled in the questionnaire, 65% of them often observe overweight and obesity in children. Barriers to discuss childhood overweight were: lack of time, reluctance to raise the subject and lack of awareness by parents. Experienced barriers in treatment were: lack of motivation of the children and parents and lack of a structured treatment plan. Within the multidisciplinary approach, the interdisciplinary communication was mentioned; 83% of the GPs would like to be informed after the first and 100% after completion of treatment from other healthcare professionals.
Conclusion: GPs signalize childhood overweight frequently, but perceive barriers in discussing childhood overweight and obesity. In the multidisciplinary approach of childhood overweight, a structured treatment plan from the coordinating health care provider and optimized interdisciplinary communication are needed for better implementation.