Article Figures & Data
Figures
- Figure 1.
Percentage of clinician respondents that indicated that they provided each of the weight management services. Groups indicate the level of weight loss services conducted (1: minimal, 2: basic, 3: superior). Abbreviation: EMR, electronic medical record.
Tables
Characteristic n Overall (n = 254) Clinician (n = 70) Other Medical Provider(n = 8) Staff/Other (n = 176) Gender 252 Female 212 (84%) 37 (53%) 8 (100%) 167 (96%) Male 40 (16%) 33 (47%) 0 (0%) 7 (4%) Age 253 Under 30 50 (20%) 0 (0%) 2 (25%) 48 (27%) 30 to 45 110 (43%) 29 (41%) 4 (50%) 77 (44%) 46 to 60 81 (32%) 38 (54%) 1 (12%) 42 (24%) Over 60 12 (5%) 3 (4%) 1 (12%) 8 (5%) Years of experience 253 11 (5, 20) 20 (10, 25) 6 (4, 8) 10 (4, 19) Full-time equivalent 250 Ful -time (90% or higher) 211 (84%) 43 (63%) 6 (75%) 162 (93%) Part time (less than 90% total) 39 (16%) 25 (37%) 2 (25%) 12 (7%) Experience with personal weight loss 253 214 (85%) 54 (77%) 6 (75%) 154 (88%) n (%); median (interquartile range); clinicians include physicians and advanced practice providers including physician assistants and nurse practitioners.
Characteristic Clinician (n = 70) Other Medical Provider (n = 8) Staff/Other (n = 176) I/our providers don't have time in their schedule 49 (70%) 4 (50%) 48 (27%) We don't have weight management workflows set up in our practice 38 (54%) 2 (25%) 73 (41%) I/our providers don't know how 30 (43%) 0 (0%) 15 (9%) I/our providers don't feel like patients will be able to successfully change and lose weight 27 (39%) 1 (12%) 19 (11%) We don't have time to set up a new program 21 (30%) 1 (12%) 17 (10%) We won't get paid/will lose money 14 (20%) 0 (0%) 7 (4%) Our patients will not want their providers to bring up weight loss with them 10 (14%) 2 (25%) 33 (19%) I/our providers are not interested in providing weight management 6 (9%) 0 (0%) 10 (6%) None of the above are concerns 5 (7%) 2 (25%) 59 (34%) Other 4 (6%) 0 (0%) 9 (5%) - Table 3.
Generalized Estimating Equation Results for Association of Clinician and Practice Factors with Amount of Weight Care Management Provided (n = 63)
Unadjusted Adjusted† Characteristic Estimate* SE P Value Estimate* SE P Value Clinician level Male (ref: female) −1.79 0.55 0.001 −2.04 0.49 <0.001 Age >45 (ref: ≤45) −0.17 0.70 0.80 −1.42 0.78 0.07 Years of experience 6 to 15 yrs (ref: ≤5 yrs) −0.50 0.89 0.57 −0.43 0.99 0.66 ≥15 yrs (ref: ≤5 yrs) −0.04 1.20 0.97 0.72 1.17 0.53 Practice culture 0.06 0.02 <0.001 0.05 0.02 0.004 Implementation climate 1.33 0.60 0.03 1.11 0.61 0.07 Work satisfaction 0.41 0.41 0.31 – – – Satisfaction with practice provision of weight management (scale from 1 to 5) −0.17 0.19 0.36 – – – Appropriateness for practice provision of weight management (scale from 1 to 5) −0.11 0.59 0.85 – – – Practice level # Quality improvement activities conducted −0.17 0.14 0.23 – – – Practice culture 0.04 0.06 0.49 – – – Implementation climate −0.97 1.45 0.50 – – – Joy and burnout 0.27 1.38 0.85 – – – * Coefficient estimates correspond to a unit increase in the mean number of services provided for a 1 unit/level increased in the predictor.
†The multivariable model is adjusted for respondent demographics and variables that had P < .1 in the univariable analyses; SE = robust standard error.
