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A System-Level Approach to Overweight and Obesity in the Veterans Health Administration.

Publication ,  Journal Article
Raffa, SD; Maciejewski, ML; Zimmerman, LE; Damschroder, LJ; Estabrooks, PA; Ackermann, RT; Tsai, AG; Histon, T; Goldstein, MG
Published in: J Gen Intern Med
April 2017

Healthcare systems are challenged by steady increases in the number of patients who are overweight and obese. Large-scale, evidence-based behavioral approaches for addressing overweight and obesity have been successfully implemented in systems such as the Veterans Health Administration (VHA). These population-based interventions target reduction in risk for obesity-associated conditions through lifestyle change and weight loss, and are associated with modest weight loss. Despite the fact that VHA has increased the overall reach of these behavioral interventions, the number of high-risk overweight and obese patients continues to rise. Recommendations for weight loss medications and bariatric surgery are included in clinical practice guidelines for the management of overweight and obesity, but these interventions are underutilized. During a recent state of the art conference on weight management held by VHA, subject matter experts identified challenges and gaps, as well as potential solutions and overarching policy recommendations, for implementing an integrated system-wide approach for improving population-based weight management.

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Published In

J Gen Intern Med

DOI

EISSN

1525-1497

Publication Date

April 2017

Volume

32

Issue

Suppl 1

Start / End Page

79 / 82

Location

United States

Related Subject Headings

  • Veterans Health
  • Veterans
  • United States Department of Veterans Affairs
  • United States
  • Systems Analysis
  • Patient Participation
  • Overweight
  • Obesity Management
  • Obesity
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
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Raffa, S. D., Maciejewski, M. L., Zimmerman, L. E., Damschroder, L. J., Estabrooks, P. A., Ackermann, R. T., … Goldstein, M. G. (2017). A System-Level Approach to Overweight and Obesity in the Veterans Health Administration. J Gen Intern Med, 32(Suppl 1), 79–82. https://doi.org/10.1007/s11606-016-3948-z
Raffa, Susan D., Matthew L. Maciejewski, Lindsey E. Zimmerman, Laura J. Damschroder, Paul A. Estabrooks, Ronald T. Ackermann, Adam G. Tsai, Trina Histon, and Michael G. Goldstein. “A System-Level Approach to Overweight and Obesity in the Veterans Health Administration.J Gen Intern Med 32, no. Suppl 1 (April 2017): 79–82. https://doi.org/10.1007/s11606-016-3948-z.
Raffa SD, Maciejewski ML, Zimmerman LE, Damschroder LJ, Estabrooks PA, Ackermann RT, et al. A System-Level Approach to Overweight and Obesity in the Veterans Health Administration. J Gen Intern Med. 2017 Apr;32(Suppl 1):79–82.
Raffa, Susan D., et al. “A System-Level Approach to Overweight and Obesity in the Veterans Health Administration.J Gen Intern Med, vol. 32, no. Suppl 1, Apr. 2017, pp. 79–82. Pubmed, doi:10.1007/s11606-016-3948-z.
Raffa SD, Maciejewski ML, Zimmerman LE, Damschroder LJ, Estabrooks PA, Ackermann RT, Tsai AG, Histon T, Goldstein MG. A System-Level Approach to Overweight and Obesity in the Veterans Health Administration. J Gen Intern Med. 2017 Apr;32(Suppl 1):79–82.
Journal cover image

Published In

J Gen Intern Med

DOI

EISSN

1525-1497

Publication Date

April 2017

Volume

32

Issue

Suppl 1

Start / End Page

79 / 82

Location

United States

Related Subject Headings

  • Veterans Health
  • Veterans
  • United States Department of Veterans Affairs
  • United States
  • Systems Analysis
  • Patient Participation
  • Overweight
  • Obesity Management
  • Obesity
  • Humans