The impact of obesity on primary care visits

Klea D Bertakis, Rahman Azari

Research output: Contribution to journalArticle

68 Citations (Scopus)

Abstract

Objective: To investigate the influence of patient obesity on primary care physician practice style. Research Methods and Procedures: This was a randomized, prospective study of 509 patients assigned for care by 105 primary care resident physicians. Patient data collected included sociodemographic information, self-reported health status (Medical Outcomes Study Short Form-36), evaluation for depression (Beck Depression Index), and satisfaction. Height and weight were measured to calculate the BMI. Videotapes of the visits were analyzed using the Davis Observation Code (DOC). Results: Regression equations were estimated relating obesity to visit length, each of the 20 individual DOC codes, and the six DOC Physician Practice Behavior Clusters, controlling for patient health status and sociodemographics. Obesity was not significantly associated with the length of the visit, but influenced what happened during the visit. Physicians spent less time educating obese patients about their health (p = 0.0062) and more time discussing exercise (p = 0.0075). Obesity was not related to discussions regarding nutrition. Physicians spent a greater portion of the visit on technical tasks when the patient was obese (p = 0.0528). Mean pre-visit general satisfaction for obese patients was significantly lower than for non-obese patients (p = 0.0069); however, there was no difference in post-visit patient satisfaction. Discussion: Patient obesity impacts the medical visit. Further research can promote a greater understanding of the relationships between obese patients and their physicians.

Original languageEnglish (US)
Pages (from-to)1615-1623
Number of pages9
JournalObesity Research
Volume13
Issue number9
StatePublished - 2005

Fingerprint

Primary Health Care
obesity
Obesity
physicians
Physicians
Observation
Primary Care Physicians
Patient Satisfaction
Health Status
health status
Depression
Videotape Recording
Research
patient care
research methods
Patient Care
prospective studies
Outcome Assessment (Health Care)
Prospective Studies
Exercise

Keywords

  • Doctor-patient relationship
  • Interactional analysis
  • Patient satisfaction
  • Practice behaviors

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Public Health, Environmental and Occupational Health
  • Endocrinology
  • Food Science
  • Endocrinology, Diabetes and Metabolism

Cite this

The impact of obesity on primary care visits. / Bertakis, Klea D; Azari, Rahman.

In: Obesity Research, Vol. 13, No. 9, 2005, p. 1615-1623.

Research output: Contribution to journalArticle

Bertakis, KD & Azari, R 2005, 'The impact of obesity on primary care visits', Obesity Research, vol. 13, no. 9, pp. 1615-1623.
Bertakis, Klea D ; Azari, Rahman. / The impact of obesity on primary care visits. In: Obesity Research. 2005 ; Vol. 13, No. 9. pp. 1615-1623.
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