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.
Published by Elsevier Inc.
MeSH terms
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Attitude to Health
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Bariatric Surgery / economics
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Bariatric Surgery / statistics & numerical data*
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Health Behavior
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Health Policy
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Health Services Accessibility / economics
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Health Services Accessibility / organization & administration
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Health Services Accessibility / statistics & numerical data*
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Humans
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Insurance Coverage / economics
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Insurance Coverage / statistics & numerical data
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Insurance, Health / economics
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Insurance, Health / statistics & numerical data
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Obesity, Morbid / economics
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Obesity, Morbid / surgery*
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Patient Acceptance of Health Care / statistics & numerical data
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Referral and Consultation / economics
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Referral and Consultation / statistics & numerical data
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Residence Characteristics / statistics & numerical data
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Socioeconomic Factors
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United States