P01.21 General Practitioners Perceptions How To Improve The Quality Of Care For Obese Children

A. A. H. Schalkwijk1, S. D. M. Bot1, P. J. M. Elders1, M. L. A. De Kroon2, G. Nijpels1;
1EMGO Institute for Health and Care Research-VUMC department General Practice, Amsterdam, Netherlands, 2EMGO Institute for Health and Care Research-VUMC Dept of Public and Occupational Health, Amsterdam, Netherlands.
Annemarie A Schalkwijk
Van der Boechorststraat 7
Zip: 1081 BT
Email: a.schalkwijk@vumc.nl
Phone: +31(0)204449811
Obesity is increasing among children. A general practitioner in the Netherlands sees at least two overweight or obese children every week. However, overweight or obesity is often not diagnosed in these children. The perception of general practitioners how to enhance the care for obese children is needed for the quality and implementation of improvements in care delivery.
Research question
What are general practitioners? perceptions to improve care for overweight or obese children?
The data for this study was obtained by both qualitative and quantitative methods. We used focus-group interviews and questionnaires. For the focus group interviews we recruited general practitioners who are affiliated to the academic network of general practitioners of the VU University medical centre (ANH-VUmc). We recruited general practitioners working in the region of Amsterdam for the self-administered questionnaire. All focus group interviews were recorded and transcribed verbatim. Questionnaire data were analysed using SPSS 15.
In total, 26 general practitioners participated in 4 different focus groups. Sixty-four general practitioners filled in the questionnaire. Important tools for the GP mentioned to support good care are: an overview of the social map (i.e. caregivers involved in the care of obese children), feedback from involved caregivers, information leaflets for parents, and instruments for diagnosing obesity (e.g. growth curve, BMI calculator). Furthermore, more education about healthy foods at schools and financial compensation for a treatment were mentioned as vital to enhance to counter the problem of obesity in children.
Our results show that general practitioners do not know where to refer obese children to. They need more information about effective intervention programs for obese children nearby. Feedback from other caregivers helps the GP in giving good quality of care and support the parents and their obese child.
General practitioners perceptions how to improve the quality of care for obese children