Physicians' perspectives on referring obese adolescents to pediatric multidisciplinary weight management programs.
OBJECTIVE
To identify factors that might influence physicians' referrals of obese adolescents to pediatric multidisciplinary weight management (PMWM) programs.


METHODS
Survey of a national sample of 375 pediatricians (PDs) and 375 family physicians (FPs) explored program availability, referral history, desired services, and when in the course of treatment physicians would refer. Differences were examined via chi(2) tests.


RESULTS
Response rate was 67%. More PDs than FPs reported having a PMWM program available (46% vs 10%, P < .01). More PDs (PD 83% vs FP 53%, P < .01) and female physicians (88% vs 65%, P < .01) reported having made a referral. Most physicians wanted coordinated diet, activity, and behavioral therapy (79%). Almost all physicians indicated they would refer when unsure of what else to do, or if requested by the patient/parent.


CONCLUSIONS
PMWM program referrals appear limited by availability. These data also suggest physicians may be reticent to refer. Further work should examine whether this affects patient outcomes.
Child Health Evaluation and Research Unit, University of Michigan, Ann Arbor, MI 48109-5456, USA. swoolfor@med.umich.edu
Susan J
SJ
Woolford
Sarah J
SJ
Clark
Achamyeleh
A
Gebremariam
Matthew M
MM
Davis
Gary L
GL
Freed
D000293:Adolescent; D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000628:therapy*; D010348:Patient Care Team; D010821:Physicians, Family; D058007:Physicians, Primary Care; D010818:Practice Patterns, Physicians'; D012017:Referral and Consultation; D057566:Self Report; D014481:United States