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Improve the costs and outcomes of medical interventions
RELATED ARTICLES
Explain
⌅
Tackling obesity in the UK
Tackling obesity in the UK☜With concern growing that the Foresight analysis—that 50% of the UK population could be obese by 2050, at an annual cost to the nation of around £50 billion per year [2]—substantially underestimates the scale of the unfolding obesity crisis, the College of Contemporary Health is working with the wider policy community to develop a whole systems map of the obesity crisis and the potential responses.☜F1CEB7
⌃
Tackling obesity
Tackling obesity☜Many policy interventions have been suggested to address the obesity crisis across multiple studies—and indeed many such measures have been implemented, and are being implemented, now. Theres recognition too that these interventions need to be part of a coherent and comprehensive whole systems strategy [4]; with some grounds for optimism that such an approach has the potential to accomplish a significant reduction in the prevalence of obesity in the UK across the next decade. [2]☜5CA4D9
■
Improve the costs and outcomes of medical interventions
Improve the costs and outcomes of medical interventions☜☜5CA4D9
↳
Incentivise GPs to improve patient outcomes
Incentivise GPs to improve patient outcomes☜The Quality and Outcomes Framework should be amended to provide incentives for GPs to proactively offer advice to overweight and obese patients and refer them to weight management services where appropriate, rather than simply keeping a register of these patients. [1]☜5CA4D9
↳
Improve surgical interventions for obesity
Improve surgical interventions for obesity☜☜5CA4D9
↳
Develop better pharmaceutical obesity therapies
Develop better pharmaceutical obesity therapies☜Obesity drug sales are forecast to $3.8bn globally in 2018 [2]—in comparison to $57bn for Diabetes drug sales[2]—with evidence suggesting that the modest average weight losses achieved with current anti-obesity agents may be of some clinical benefit [5]. However, the current generation of drugs, which act on the central nervous system to suppress appetite, have raised significant health concerns—including psychiatric disorders, such as suicidal behaviour, depression, and cardiovascular problems.☜5CA4D9
↳
Develop new technologies to support healthier behaviour
Develop new technologies to support healthier behaviour☜Develop innovative technologies and applications to support healthier life choices including more physical activity and healthier diets.☜5CA4D9
↳
Fecal microbiome therapy
Fecal microbiome therapy☜Modification of gut microbiota appears to be a promising therapeutic intervention for obesity and other metabolic disorders. [1], [2]☜5CA4D9
↳
Undertake a systematic review of specialist obesity services
Undertake a systematic review of specialist obesity services☜Undertake a systematic review of specialist obesity services between the Royal College of General Practitioners community leads and the Royal College of Physicians (RCP) and learned societies, including the Society for Endocrinology, Diabetes UK and the Association of British Clinical Diabetologists☜5CA4D9
⇥
Actions to be taken by the healthcare professions
Actions to be taken by the healthcare professions☜Actions to be taken by the healthcare professions suggested by the AMRC.☜FFFACD
□
Adopt a whole systems approach to obesity
Adopt a whole systems approach to obesity☜Tackling obesity effectively—accomplishing a population wide-shift—requires a comprehensive and integrated whole systems approach, involving a range of measures focusing on individuals, social and other systems, including at the local and community level, and on the interrelated physical, physiological, social and cognitive factors that determine health outcomes.☜5CA4D9
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Improve obesity training for healthcare professionals
Improve obesity training for healthcare professionals☜Improve systems of obesity education and training across all health professional groups to ensure that all professional primary and secondary healthcare groups are appropriately competent to respond to the demands of the obesity crisis.☜5CA4D9
□
Improve public education, literacy & actions on obesity and nutrition
Improve public education, literacy & actions on obesity and nutrition☜Improve public education, literacy and actions on obesity and nutrition and health. Ensure that all citizens have a requisite level of food choosing, sourcing and preparation, and general food literacy.☜5CA4D9
□
Reshape the food environment to encourage healthier eating patterns
Reshape the food environment to encourage healthier eating patterns☜Create an environment that better suits our biology and supports us in developing and sustaining healthy eating and activity habits. Aim to amplify patterns that promote and support healthy eating patterns and damp patterns that encourage unhealthy eating patterns.☜5CA4D9
□
Shape the physical environment to encourage physical activity
Shape the physical environment to encourage physical activity☜☜5CA4D9
□
Develop a coherent fiscal, regulatory and governance framework
Develop a coherent fiscal, regulatory and governance framework☜Take every opportunity, iteratively over time, to bring the public fiscal, regulatory and governance framework into alignment with public health goals on obesity. Use taxes, subsidies, targets and pricing signals to incentivise change in behaviour, supply and consumption by aligning measures with the health properties of food and drink and behaviour—and seek, wherever practical, to amplify positive patterns that are aligned with the policy goals and damp those that pull against.☜5CA4D9
□
Invest in employee health and wellbeing
Invest in employee health and wellbeing☜Encourage organisations to invest employee health and wellbeing; including a health risk assessment and the provision of resources to help employees address the factors that pose the greatest risk to their health and wellness. [1], [2], [3], [4], [5]☜5CA4D9
□
Many obesity policy measures appear to be cost-effective for society
Many obesity policy measures appear to be cost-effective for society☜The recent MGI study [1] reported that almost all of the obesity policy interventions included in its economic analysis appeared to be highly cost-effective at the societal level—i.e. the health-care costs and productivity savings that accrue from reducing obesity through a specific intervention outweighed the direct investment required to deliver that intervention when assessed over the full lifetime of the target population.☜98CE71
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Scarce health resources would be better spent elsewhere
Scarce health resources would be better spent elsewhere☜Framing obesity as a health crisis results in scarce health resources being directed to millions of people who are already healthy.☜EF597B
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Graph of this discussion
Graph of this discussion☜Click this to see the whole debate, excluding comments, in graphical form☜dcdcdc
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11/26/2014 10:23:00 PM
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