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Study results suggest physicians reluctant to diagnose obesity.(Clinical Rounds)
QUEBEC CITY -- Society may be willing to label anyone who is not rail thin as being overweight, but the results of a new study suggest that physicians are loath to do so, even with the obese.
Researchers randomly identified 486 obese or overweight patients aged 18-70 years in a family medicine clinic by calculating their body mass index (kg/[m.sup.2]).
But a review of the patients' charts found that only 97 (20%) of the patients had a documented diagnosis of obesity in their chart.
"There is still some discomfort. How do we bring it up?" asked Dr. Cassandra Arceneaux of the University of Texas, Galveston. "There needs to be education for the physician on how to talk to patients about weight."
Another problem may be the way in which obesity is documented in the chart. "Some physicians said that it doesn't make sense to talk about obesity because you can't bill for it and get paid," Dr. Arceneaux said at the annual meeting of the North American Primary Care Research Group. "There's a code for obesity, but if you list obesity first you are less likely to be reimbursed by the insurance companies."
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Source: HighBeam Research, Study results suggest physicians reluctant to diagnose...