RT Journal Article
SR Electronic
T1 Modelling of intersectoral resources for people living with obesity: pilot study of an environmental analysis
JF The Annals of Family Medicine
JO Ann Fam Med
FD American Academy of Family Physicians
SP 6673
DO 10.1370/afm.22.s1.6673
VO 22
IS Supplement 1
A1 Layani, Geraldine
A1 Sasseville, Maxime
A1 Berthelet, Laurence
A1 Schweitzer, Anne
A1 Sourial, Nadia
A1 Gartner, Jean-Baptiste
A1 Lessard, Lily
A1 Pierre, Mégane
A1 Cote, Andre
A1 Tremblay, Alexandre
A1 Vachon, Brigitte
YR 2024
UL http://www.annfammed.org/content/22/Supplement_1/6673.abstract
AB Context: Living with obesity is a complex, multifactorial health issue, and the healthcare system contributes only 20% of the factors affecting the health of a person living with obesity (PLO). Interventions dedicated to PLO need to be rethought according to an integrated, person-centred, and intersectoral approach to consider the complexity of living with obesity.Objective: To model the involvement of the different sectors and services mobilized in the follow-up of PLO in a region of Quebec.Study design: Qualitative study. An environmental scan was conducted between September 2023 and January 2024 using a literature review and semi-structured interviews.Setting: Regional County Municipality of Montmagny, semi-rural region (Chaudière-Appalaches), in Quebec, Canada.Study population: PLO, healthcare professionals and community workers.Intervention: A literature review was conducted to identify current and potential intersectoral interventions dedicated to PLO in Canada. This was followed by semi-structured interviews with a citizen partner, a health system manager, and a community worker to document their perspectives and implications and contextualize findings to the study region.Outcome measures: Qualitative data analysis was conducted deductively using the Health system Pineault framework and Network actor theory. Health resources modelling was carried out according to systems modelling principles.Results: Health professionals and community workers did not know, use, or coordinate all sectors of the community that may be involved in PLOs' health. For social and organizational reasons, PLOs did not use many public health system resources, and private community resources were not coordinated with the public system.Conclusions: This pilot study shows that care and services dedicated to PLO are currently centred on the healthcare system. The resources available in the community are still little known to PLOs and healthcare professionals and are essentially served by the private system.