Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/17524
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dc.contributor.authorAtlantis, E-
dc.contributor.authorKormas, N-
dc.contributor.authorSamaras, K-
dc.contributor.authorFahey, P-
dc.contributor.authorSumithran, Priya-
dc.contributor.authorGlastras, S-
dc.contributor.authorWittert, G-
dc.contributor.authorFusco, K-
dc.contributor.authorBishay, R-
dc.contributor.authorMarkovic, T-
dc.contributor.authorDing, L-
dc.contributor.authorWilliams, K-
dc.contributor.authorCaterson, I-
dc.contributor.authorChikani, V-
dc.contributor.authorDugdale, P-
dc.contributor.authorDixon, J-
dc.date2018-04-23-
dc.date.accessioned2018-04-25T23:51:09Z-
dc.date.available2018-04-25T23:51:09Z-
dc.date.issued2018-06-
dc.identifier.citationClinical Obesity 2018; 8(3): 203-210en_US
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/17524-
dc.description.abstractWe aimed to describe the current state of specialist obesity services for adults with clinically severe obesity in public hospitals in Australia, and to analyse the gap in resources based on expert consensus. We conducted two surveys to collect information about current and required specialist obesity services and resources using open-ended questionnaires. Organizational level data were sought from clinician expert representatives of specialist obesity services across Australia in 2017. Fifteen of 16 representatives of current services in New South Wales (n = 8), Queensland (n = 1), Victoria (n = 2), South Australia (n = 3), and the Australian Capital Territory (n = 1) provided data. The composition of services varied substantially between hospitals, and patient access to services and effective treatments were limited by strict entry criteria (e.g. body mass index 40 kg/m2 or higher with specific complication/s), prolonged wait times, geographical location (major cities only) and out-of-pocket costs. Of these services, 47% had a multidisciplinary team (MDT), 53% had an exercise physiologist/physiotherapist, 53% had a bariatric surgeon and 33% had pharmacotherapy resources. Key gaps included staffing components of the MDT (psychologist, exercise physiologist/physiotherapist) and access to publicly funded weight loss pharmacotherapy and bariatric surgery. There was consensus on the need for significant improvements in staff, physical infrastructure, access to services, education/training in obesity medicine and targeted research funding. Based on the small number of existing, often under-resourced specialist obesity services that are located only in a few major cities, the vast majority of Australians with clinically severe obesity cannot access the specialist evidence based treatments needed.en_US
dc.language.isoeng-
dc.subjectObesityen_US
dc.subjecthospital Outpatient Clinicsen_US
dc.subjectspecialist weight managementen_US
dc.subjectweight lossen_US
dc.titleClinical Obesity Services in Public Hospitals in Australia: a position statement based on expert consensus.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleClinical Obesityen_US
dc.identifier.affiliationCapital Markets Cooperative Research Centre, Sydney, Australiaen_US
dc.identifier.affiliationSchool of Nursing and Midwifery, Western Sydney University, Penrith, Australiaen_US
dc.identifier.affiliationDepartment of Endocrinology and Metabolism, Concord Repatriation General Hospital, Sydney, Australiaen_US
dc.identifier.affiliationDepartment of Endocrinology, Campbelltown and Camden Hospitals, Sydney, Australiaen_US
dc.identifier.affiliationDiabetes Obesity Metabolism Translational Research Unit, Campbelltown Hospital, Sydney, Australiaen_US
dc.identifier.affiliationDepartment of Endocrinology, St Vincent's Hospital, Sydney, Australiaen_US
dc.identifier.affiliationDiabetes and Metabolism Division, Garvan Institute of Medical Research, Sydney, Australiaen_US
dc.identifier.affiliationSchool of Science and Health, Western Sydney University, Penrith, Australiaen_US
dc.identifier.affiliationAustin Health Weight Control Clinic, Austin Health, Heidelberg, Victoria, Australiaen_US
dc.identifier.affiliationMedicine (University of Melbourne)en_US
dc.identifier.affiliationDepartment of Endocrinology, Diabetes and Metabolism, Royal North Shore Hospital, St Leonards, Australiaen_US
dc.identifier.affiliationSchool of Medicine, The University of Adelaide, Adelaide, Australiaen_US
dc.identifier.affiliationMetabolic and Weight Loss Clinic, University Clinics, Western Sydney University, Blacktown Hospital, Sydney, Australiaen_US
dc.identifier.affiliationBoden Institute, Charles Perkins Centre, University of Sydney, Sydney, Australiaen_US
dc.identifier.affiliationMetabolism and Obesity Services, Royal Prince Alfred Hospital, Camperdown, Australiaen_US
dc.identifier.affiliationDepartment of Chemical Pathology, Royal North Shore Hospital, NSW Health Pathology, Sydney, Australiaen_US
dc.identifier.affiliationSydney Medical School (Nepean), Sydney, Australiaen_US
dc.identifier.affiliationNepean Family Obesity Services, Nepean Blue Mountains Local Health District, Sydney, Australiaen_US
dc.identifier.affiliationDepartment of Diabetes and Endocrinology, The Princess Alexandra Hospital, Brisbane, Australiaen_US
dc.identifier.affiliationCentre for Health Stewardship, The Australian National University, Canberra, Australiaen_US
dc.identifier.affiliationChronic Disease Management Unit, Australian Capital Territory Health Directorate, Canberra, Australiaen_US
dc.identifier.affiliationBaker Heart and Diabetes Institute, Melbourne, Australiaen_US
dc.identifier.affiliationIverson Health Innovation Research Institute, Swinburne University of Technology, Hawthorn, Australiaen_US
dc.identifier.doi10.1111/cob.12249en_US
dc.type.contentTexten_US
dc.identifier.orcid0000-0001-5877-6141en_US
dc.identifier.pubmedid29683555-
dc.type.austinJournal Article-
local.name.researcherSumithran, Priya
item.grantfulltextnone-
item.openairetypeJournal Article-
item.languageiso639-1en-
item.fulltextNo Fulltext-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
crisitem.author.deptEndocrinology-
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