Bariatric surgery barriers: a review using Andersen's Model of Health Services Use

被引:68
|
作者
Imbus, Joseph R. [1 ]
Voils, Corrine I. [1 ,2 ]
Funk, Luke M. [1 ,2 ]
机构
[1] Univ Wisconsin Madison, Dept Surg, Wisconsin Surg Outcomes Res Program WiSOR, Madison, WI USA
[2] William S Middleton Vet Mem Hosp, Madison, WI USA
关键词
Bariatric surgery; Access to care; Barriers; Bariatric referral; Andersen's Behavioral Model of Healthcare Use; PHYSICIAN DECISION-MAKING; PRIMARY-CARE; PERCEIVED BARRIERS; REFERRAL PATTERNS; AMERICAN SOCIETY; OBESITY; MANAGEMENT; PATIENT; LIKELIHOOD; KNOWLEDGE;
D O I
10.1016/j.soard.2017.11.012
中图分类号
R61 [外科手术学];
学科分类号
摘要
Severe obesity affects nearly 20 million adults in the United States and is associated with significant morbidity and mortality. Bariatric surgery is the most effective treatment for weight loss and resolution of obesity-related co-morbidities. Of adults with severe obesity, <1% undergo bariatric surgery annually. Both contextual (health system, clinicians, and community) and individual factors contribute to the underutilization of bariatric surgery. In this review, we summarize potential barriers to undergoing bariatric surgery within the framework of Andersen's Behavioral Model of Health Services Use. (C) Published by Elsevier Inc. on behalf of American Society for Metabolic and Bariatric Surgery.
引用
收藏
页码:404 / 412
页数:9
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