Inglese, Lori. A gap analysis of the management of patients with overweight and obesity in the primary care setting. Retrieved from https://doi.org/doi:10.7282/t3-pkfc-qm75
DescriptionPurpose of Project: The purpose of this project was to compare current practices in the primary care setting with evidence-based recommendations in the treatment of patients with overweight and obesity. Methodology: This quality improvement project was based at four-associated primary care offices in Monmouth County, New Jersey. All 16 primary care providers were invited to participate and recruited via an email invitation. Participants were asked to complete a 9-point de novo survey assessing current practices compared to evidence-based guideline recommendations. A gap analysis was performed to determine where there were gaps in practice, and an evidence-based toolkit was created to help address those gaps. Results: During the two-week period, 15 providers completed the survey including 6 MD/DOs, 7 NPs, and 2 PAs participated. Results of the survey demonstrated gaps regarding initiation of pharmacotherapy and bariatric surgery referrals. Only 54% of providers reported engaging eligible patients in decision-making regarding bariatric surgery. Similarly, 27% of providers reported engaging eligible patients in decision-making regarding pharmacological therapy. Implications for Practice: Without the proper utilization of evidence-based guidelines, obesity will remain a significant cause of morbidity and mortality. An evidence-based toolkit may improve management of patients with overweight/obesity. Further efforts can be focused on assessing the effect of this toolkit on patient’s outcomes.