Bariatric Times

APR 2018

A peer-reviewed, evidence-based journal that promotes clinical development and metabolic insights in total bariatric patient care for the healthcare professional

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Page 15 of 28

Review 15 Bariatric Times • April 2018 weight bias awareness and from the opportunity to examine their own explicit and implicit attitudes. 68,69,74,78 Perspective-taking exercises might also help increase clinicians' empathy and positive affect among clinicians, improving attitudes and reducing stigma toward patients with obesity. 75-77,79–82 In addition to educational interventions, clinicians should work to alter the clinic environment to be less stigmatizing by providing chairs and medical equipment that accommodate patients of any size. 29,30 Furthermore, when providing obesity care, clinicians should focus on improved health and well- being, rather than solely on body weight. 59,65,66 CONCLUSION Obesity might make individuals vulnerable to unfair treatment and an impaired quality of care due to weight bias. Specifically, weight bias negatively impacts the attitudes, communication, and behaviors of healthcare professionals. These biases have been pervasive globally for several decades, affecting both practicing clinicians and medical students. Patients with obesity perceive the bias of healthcare professionals, and as a result, are less likely to experience continuity of care or pursue preventive services. This suggests patients with obesity might be receiving lower quality care and suffering from healthcare disparities. Given the prevalence of overweight and obesity, there is an urgent need to design and test interventions that minimize the effects of weight bias in the healthcare setting, particularly among practicing clinicians. Interventions among trainees that resulted in a sustained increase in empathy and decrease in stereotyping included education on the causes of obesity, increased awareness of weight bias and stigma, and enhanced perspectives on obesity treatments. Other interventions to consider include altering the clinic environment to be more weight- inclusive and changing counseling to promote improved health and well- being rather than focusing on weight. REFERENCES 1. Mosadeghrad AM. Factors influencing healthcare service quality. Int J Health Policy Manag. 2014;3(2):77–89. 2. Napoles-Springer AM, Santoyo J, Houston K, et al. Patients' perceptions of cultural factors affecting the quality of their medical encounters. Health Expect. 2005;8(1):4–17. 3. Naidu A. Factors affecting patient satisfaction and healthcare quality. Int J Health Care Qual Assur. 2009;22(4):366–81. 4. Kelley JM, Kraft-Todd G, Schapira L, et al. The influence of the patient-clinician relationship on healthcare outcomes: a systematic review and meta-analysis of randomized controlled trials. PLoS One. 2014;9(4):e94207. 5. Beach MC, Inui T, Relationship- Centered Care Research N. Relationship-centered care. A constructive reframing. 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Obesity might make individuals vulnerable to unfair treatment and an impaired quality of care due to weight bias.

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