Management Strategy of Obesity in the Public Health System: Proposal of a New Model to Optimize Human Resources and Patient’s Motivation
Massimo Pellegrini1, Michael Kob2, Rita Trovato2, Marion Schrei2, Valentina Corazzini2, Nicoletta Facchin2, Mariantonietta Mazzoldi3, Lucio Lucchin2, *
1 Department of Diagnostic, Clinical and Public Health Medicine, University of Modena and Reggio Emilia, Via Campi 287, Modena, 41125, Italy & Azienda Usl of Reggio Emilia - IRCCS, Via Amendola, 2 - 42122 Reggio Emilia, Italy
2 Dietetic and Clinical Nutrition Unit, Health District of Bolzano, Lorenz-Böhler Street 5, Bolzano, 39100, Italy
3 Clinical Psychological Unit Health District of Bolzano, Lorenz-Böhler Street 5, Bolzano, 39100, Italy
Obesity, a disease characterized by an excess of adipose tissue, is a worldwide issue of growing interest in public health.
The multifactorial etiology and pathogenesis of obesity strongly orient the scientific community in considering it as a chronic disease without an effective therapy that works for all patients affected by this clinical condition. This leads to a proliferation of non-scientific and dangerous treatment proposals and fake news. The Dietetic and Clinical Nutrition Unit at Bolzano Hospital in Italy has adopted a new strategy based on transparency to optimize time for the first visit and particularly to increase patients’ knowledge and motivation.
This new strategy provides a preliminary consultation between patients who ask for a nutritional examination and a clinical team composed of a clinician, a dietician and a psychologist. We discuss the preliminary results obtained during the period between February 2010 and March 2016.
Keywords: Obesity, Public health system, Adipose tissue, Clinical Nutrition, Aetiology, Pathogenesis.
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
* Address correspondence to this author at the Dietetic and Clinical Nutrition Unit, Health District of Bolzano, Lorenz-Böhler Street 5, Bolzano, 39100, Italy; Tel: +39 0471 908545; Fax: +39 0471 908707; E-mail: firstname.lastname@example.org