Featured Research

from universities, journals, and other organizations

Study finds no evidence that obese patients are less likely to receive recommended care

Date:
April 6, 2010
Source:
JAMA and Archives Journals
Summary:
Despite a concern that obese or overweight patients may receive lower quality of health care, an analysis of eight common outpatient quality measures from a sample of nearly 70,000 patients finds no evidence that obese or overweight patients receive inferior care when compared with normal-weight patients, and in fact may receive a higher rate of recommended care on several measures, according to a new study.

Despite a concern that obese or overweight patients may receive lower quality of health care, an analysis of eight common outpatient quality measures from a sample of nearly 70,000 patients finds no evidence that obese or overweight patients receive inferior care when compared with normal-weight patients, and in fact may receive a higher rate of recommended care on several measures, according to a study in the April 7 issue of JAMA.

"Prior studies show that clinicians openly admit to negative attitudes toward obese patients, and many express dissatisfaction in caring for obese patients," the authors write. "Moreover, obese patients often feel that clinicians are biased or disrespectful because of their weight. These observations raise the concern that obese patients may receive lower quality of care."

Virginia W. Chang, M.D., Ph.D., of the University of Pennsylvania School of Medicine, Philadelphia, and the Philadelphia VA Medical Center, and colleagues examined whether quality of care differs by patient weight status using common outpatient quality measures. Eight different performance measures were examined in 2 national-level patient populations: (1) Medicare beneficiaries (n = 36,122), using data from the Medicare Beneficiary Survey (1994-2006); and (2) recipients of care from the Veterans Health Administration (VHA) (n = 33,550), using data from an ongoing performance-evaluation program (2003-2004).

The measures included diabetes care (eye examination, glycated hemoglobin [HbA1c] testing and lipid screening), pneumococcal vaccination, influenza vaccination, screening mammography, colorectal cancer screening and cervical cancer screening. Measures were based on a combination of administrative claims, survey, and chart review data. Overweight was defined as a body mass index (BMI) of 25.0-29.9, and obese, a BMI of 30 or greater.

The researchers found that across all measures in both the Medicare and VHA samples, there was no instance in which obese or overweight individuals were estimated to have significantly lower odds of recommended care relative to normal-weight individuals. Moreover, these groups often had higher estimated odds of care.

The largest differentials were observed for recommended diabetes care among Medicare beneficiaries, where obese and overweight patients had notably higher rates of lipid screening and HbA1c testing. In addition, the authors found slightly higher rates of vaccination among overweight and obese patients in both populations, as well as marginally higher success rates for mammography among overweight Medicare beneficiaries and colorectal cancer and cervical cancer screening among overweight VHA patients.

"Although the prevention of obesity is considered a public health priority, the majority of U.S. adults are already overweight or obese, so it is equally vital to ensure that these patients receive equitable and effective treatment. We found no evidence in 2 large and important U.S. patient populations that obese and overweight patients receive lower quality of care than normal-weight patients on common preventive services. To the contrary, being obese or overweight was associated with marginally higher rates of recommended care for several measures. While it may be true that physicians often harbor negative attitudes toward obesity, such attitudes may not be borne out in lower quality of care."


Story Source:

The above story is based on materials provided by JAMA and Archives Journals. Note: Materials may be edited for content and length.


Journal Reference:

  1. Virginia W. Chang; David A. Asch; Rachel M. Werner. Quality of Care Among Obese Patients. JAMA, 2010; 303 (13): 1274-1281

Cite This Page:

JAMA and Archives Journals. "Study finds no evidence that obese patients are less likely to receive recommended care." ScienceDaily. ScienceDaily, 6 April 2010. <www.sciencedaily.com/releases/2010/04/100406162933.htm>.
JAMA and Archives Journals. (2010, April 6). Study finds no evidence that obese patients are less likely to receive recommended care. ScienceDaily. Retrieved April 16, 2014 from www.sciencedaily.com/releases/2010/04/100406162933.htm
JAMA and Archives Journals. "Study finds no evidence that obese patients are less likely to receive recommended care." ScienceDaily. www.sciencedaily.com/releases/2010/04/100406162933.htm (accessed April 16, 2014).

Share This



More Health & Medicine News

Wednesday, April 16, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Ebola Outbreak Now Linked To 121 Deaths

Ebola Outbreak Now Linked To 121 Deaths

Newsy (Apr. 15, 2014) The ebola virus outbreak in West Africa is now linked to 121 deaths. Health officials fear the virus will continue to spread in urban areas. Video provided by Newsy
Powered by NewsLook.com
Cognitive Function: Is It All Downhill From Age 24?

Cognitive Function: Is It All Downhill From Age 24?

Newsy (Apr. 15, 2014) A new study out of Canada says cognitive motor performance begins deteriorating around age 24. Video provided by Newsy
Powered by NewsLook.com
How Mt. Everest Helped Scientists Research Diabetes

How Mt. Everest Helped Scientists Research Diabetes

Newsy (Apr. 15, 2014) British researchers were able to use Mount Everest's low altitudes to study insulin resistance. They hope to find ways to treat diabetes. Video provided by Newsy
Powered by NewsLook.com
Carpenter's Injury Leads To Hundreds Of 3-D-Printed Hands

Carpenter's Injury Leads To Hundreds Of 3-D-Printed Hands

Newsy (Apr. 14, 2014) Richard van As lost all fingers on his right hand in a woodworking accident. Now, he's used the incident to create a prosthetic to help hundreds. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins