Improving the Prevention, Early Recognition, and Treatment of Pediatric Obesity by Primary Care Physicians

To determine if participation in a learning collaborative (LC) would improve care processes for prevention, early recognition, and treatment of childhood obesity by primary care physicians (PCP), the authors conducted pre-post evaluations of the use of obesity related care processes by 18 primary ca...

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Bibliographic Details
Published in:Clinical pediatrics 2010-10, Vol.49 (10), p.964-969
Main Authors: Young, Paul C., DeBry, Sandra, Jackson, W. Daniel, Metos, Julie, Joy, Elizabeth, Templeman, Mark, Norlin, Chuck
Format: Article
Language:English
Subjects:
Adult
Anticipatory
Body mass
Body weight
Child
Children
Counseling
Early Diagnosis
Female
Health care industry
Humans
Infant
Infants
Male
Medical personnel
Middle Aged
Obesity
Obesity - diagnosis
Obesity - prevention & control
Overweight
Overweight - diagnosis
Overweight - prevention & control
Overweight - psychology
Parents
Physicians, Primary Care - education
Practice Patterns, Physicians' - statistics & numerical data
Prevention
Primary care
Program Development - methods
Quality Improvement - statistics & numerical data
Surveys and Questionnaires - standards
Time Factors
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Summary:To determine if participation in a learning collaborative (LC) would improve care processes for prevention, early recognition, and treatment of childhood obesity by primary care physicians (PCP), the authors conducted pre-post evaluations of the use of obesity related care processes by 18 primary care practices following participation in a 9-month LC based on the Model for Improvement. Prior to the LC, chart audits revealed that 55% of patients had a BMI recorded; this rose to 97% of patients at its conclusion. Following the LC, 11 practices had implemented systematic prevention advice to parents of infants compared with 3 prior to the LC. All practices developed plans for evaluation and management of children with an elevated BMI. Participation in an LC increased the number of primary care practices that provided anticipatory guidance regarding obesity prevention and that identified and treated overweight or obese children.
ISSN:0009-9228
1938-2707
DOI:10.1177/0009922810370056