Metabolic syndrome and weight management programs in primary care: a comparison of three international healthcare systems
Elizabeth Sturgiss A D , Claire Deborah Madigan B , Doug Klein C , Nicholas Elmitt A and Kirsty Douglas A
+ Author Affiliations
- Author Affiliations
A Academic Unit of General Practice, Australian National University, Canberra Hospital Campus, Building 4, Level 2, Garran, ACT 2606, Australia.
B Nuffield Department of Primary Care Health Sciences, Radcliffe Primary Care Building, Radcliffe Observatory Quarter, Woodstock Road, Oxford, OX2 6GG, UK.
C Faculty of Medicine and Dentistry, University of Alberta, 2J2.00 WC Mackenzie Health Sciences Centre, 8440 112 Street NW, Edmonton, AB, T6G 2R7, Canada.
D Corresponding author. Email: elizabeth.sturgiss@anu.edu.au
Australian Journal of Primary Health 24(5) 372-377 https://doi.org/10.1071/PY18021
Submitted: 29 January 2018 Accepted: 1 May 2018 Published: 30 July 2018
Journal compilation © La Trobe University 2018 Open Access CC BY-NC-ND
Abstract
Lifestyle behaviours are contributing to the increasing incidence of chronic disease across all developed countries. Australia, Canada and the UK have had different approaches to the role of primary care in the prevention and management of lifestyle-related diseases. Both obesity and metabolic syndrome have been targeted by programs to reduce individual risk for chronic disease such as type 2 diabetes. Three interventions are described – for either obesity or metabolic syndrome – that have varying levels of involvement of GPs and other primary care professionals. The structure of a healthcare system for example, financing and physical locations of primary care clinicians, shapes the development of primary care interventions. The type of clinicians involved in interventions, whether they work alone or in teams, is influenced by the primary care setting and resource availability. Australian clinicians and policymakers should take into account the healthcare system where interventions are developed when translating interventions to the Australian context.
Additional keywords: delivery of healthcare, healthy people programs, patient care management, preventive medicine, primary healthcare.
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