title: Obesity as a disease: has the AMA resolution had an impact on how physicians view obesity?
abstract: BACKGROUND
  In 2013, the American Medical Association (AMA) passed a resolution characterizing obesity as a disease. It is unclear whether primary care physicians (PCPs) agree with this characterization and how their agreement or lack thereof affects their treatment of patients with obesity.
  
  
  OBJECTIVE
  We sought to understand PCP opinions about the AMA obesity resolution and how it has affected management of patients with obesity.
  
  
  METHODS
  Small, medium, and large communities in Wisconsin METHODS: Focus groups were conducted with PCPs in Wisconsin. PCPs were asked whether they considered obesity a disease and what they factored into this consideration, including the AMA decision. A directed approach to content analysis was used to analyze the data. A taxonomy of consensus codes was developed, coding summaries were generated, and representative quotes were identified.
  
  
  RESULTS
  Three focus groups comprising a total of 16 PCP participants were conducted. Not all PCPs were aware of the AMA resolution. PCPs held divergent opinions on whether obesity represented a disease, primarily focusing their considerations on obesity as a risk factor versus a disease. They also discussed how considering obesity as a disease affects the patient-doctor relationship, insurance coverage, physician reimbursement, and research.
  
  
  CONCLUSIONS
  The AMA resolution did not appear to have made a significant impact on PCP opinions or management practices in our focus groups in Wisconsin. Follow-up surveys that quantify the prevalance of these opinions and practices at the state and national levels would be highly informative.
authors.affiliation: William S. Middleton Memorial Veterans Hospital, Madison, Wisconsin; Department of Surgery, Wisconsin Surgical Outcomes Research Program (WiSOR), University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin. Electronic address: funk@surgery.wisc.edu.
authors.forename: Luke M
authors.initials: LM
authors.lastname: Funk
authors.affiliation: William S. Middleton Memorial Veterans Hospital, Madison, Wisconsin; Department of Surgery, Wisconsin Surgical Outcomes Research Program (WiSOR), University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
authors.forename: Sally A
authors.initials: SA
authors.lastname: Jolles
authors.affiliation: Center for Health Services Research in Primary Care, Veterans Affairs Medical Center, Durham, North Carolina; Department of Medicine, Duke University Medical Center, Durham, North Carolina.
authors.forename: Corrine I
authors.initials: CI
authors.lastname: Voils
mesh_terms: D000574:American Medical Association; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D005260:Female; D017144:Focus Groups; D006801:Humans; D019458:Insurance Coverage; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000523:psychology / Q000628:therapy*; D010817:Physician-Patient Relations; D058007:Physicians, Primary Care / Q000523:psychology*; D010818:Practice Patterns, Physicians'; D012051:Reimbursement Mechanisms; D014481:United States; D014922:Wisconsin
keywords: Health services; Obesity; Public health