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Revised draft Clinical Practice Guidelines for the Management of Overweight and Obesity in Adults, Children and Adolescents

ID: 
21
Personal Details
First Name: 
Lester
Last Name: 
Mascarenhas
Additional Information
In regard to your comments, do you have a Conflict of Interest to disclose?: 
No
Specific questions
Question 2: What would help you implement these recommendations into practice?: 

I suspect there may be a policy implementation gap, I feel the following may help reduce the gap

1. Increasing access to bariatric surgery

2. Providing incentives to organise comprehensive care and assessment for obese individuals - ideally this would take the form of financial incentives based on process indicators.

3. Including obesity on the list of conditions for which a GPMP can be formulated may increase access to services for obese individuals - however, there would have to be a quality control mechanism to avoid abuse of the GPMP/EPC medicare rebate - could this perhaps be tied in to outcome or process indicators?

4. In Aboriginal Community Controlled Health services, implementation will be more likely if key clinical staff are engaged at all levels such as - invlovement in development of a system to implement the policy at their local level, engagement with the funding bodies and active particpation in auditing the process

Specific comments
Comments: 
6.2 Intensive interventions

The cost-effectiveness of bariatric surgery is clearly stated along with guidelines to determine who would benefit from this. This is likely to result in an increase in demand for specialist obesity services. Will this demand be met? What is the current access to bariatric surgery services? Implementing this aspect of the guideline may prove difficult

Appendix D Implementation of the Guideline recommendations

Audit criteria would be useful to help me evaluate the quality of any programmes that are rolled out at my service

Page reviewed: 6 September, 2012