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Review
. 2018 Mar;14(3):404-412.
doi: 10.1016/j.soard.2017.11.012. Epub 2017 Nov 10.

Bariatric surgery barriers: a review using Andersen's Model of Health Services Use

Affiliations
Review

Bariatric surgery barriers: a review using Andersen's Model of Health Services Use

Joseph R Imbus et al. Surg Obes Relat Dis. 2018 Mar.

Abstract

Severe obesity affects nearly 20 million adults in the United States and is associated with significant morbidity and mortality. Bariatric surgery is the most effective treatment for weight loss and resolution of obesity-related co-morbidities. Of adults with severe obesity,<1% undergo bariatric surgery annually. Both contextual (health system, clinicians, and community) and individual factors contribute to the underutilization of bariatric surgery. In this review, we summarize potential barriers to undergoing bariatric surgery within the framework of Andersen's Behavioral Model of Health Services Use.

Keywords: Access to care; Andersen's Behavioral Model of Healthcare Use; Bariatric referral; Bariatric surgery; Barriers.

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References

    1. Sturm R, Hattori A. Morbid obesity rates continue to rise rapidly in the United States. Int J Obes 2013;37(6):889–91. - PMC - PubMed
    1. Segal LM, Rayburn J, Martin A. The State of Obesity: Better Policies for a Healthier America. Washington, DC, Trust for America’s Health, 2016. pp 1.
    1. Fontaine KR, Redden DT, Wang C, Westfall AO, Allison DB. Years of life lost due to obesity. JAMA 2003;289(2):187–93. - PubMed
    1. Tremmel M, Gerdtham UG, Nilsson PM, Saha S. Economic burden of obesity: a systematic literature review. Int J Environ Res Public Health 2017;14(4):pii:E435. - PMC - PubMed
    1. Andreyeva T, Luedicke J, Wang YC. State-level estimates of obesity-attributable costs of absenteeism. J Occup Environ Med 2014;56 (11):1120–7. - PMC - PubMed

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