Reference no: EM133399885

Case Report

Established in 1819. the University of Cincinnati (UC). which includes a medical school, is the second largest university in Ohio anc often ranked as a Tier 1 university by US News & World Report. The weight-loss center operated by UC Health is a model program that partners with various stakeholders in the community to create best practices for a healthy lifestyle in exercise science and weight management. There are three components to "ifestvle management' 'to control obesitv: physical activity. dietary interventions. anc behavioral modification (McCafferty et al., 2020). Thus, a primary goal of weight-loss interventions is diet to initiate weight loss, then exercise to sustain it over the long term.

Another hurdle that patients with obesity face is stigma; in turn, a key aspect of weight-loss programs focuses on assisting patients in overcoming the challenges of mobility and limited possibilities they experience in their daily lives (De Lorenzo et al., 2020; Jensen & Pals, 2015). The challenges preventing most people from exercising include limited physical mobility, lack of motivation, and a lack of proper facilities or equipment. Additionally, weight-loss programs must account for predetermining factors for obesity, such as genetic and epigenetic susceptibility, as well as predisposition initiated during pregnancy due to the mother's health status and choices (De Lorenzo et al.. 2020)

UC Health created a day-long program for working women that provided weight management education, resources, and counseling (Rege, 2018). The programmatic outcomes included successful weight management interventions for dozens of UC executives through the years by creating a culture of exercise science. The success of UC Health's program was grounded in two primary goals for the women's center: a low-calorie diet featuring liquid fasting, coupled witn a healthy living plan geared toward helping patients lose a minimum of one pound per week. UC Health now runs a six-month, three-phase program that includes meal planning, medical monitoring, and education classes.

Resource allocation can be both ethical and effective by soreadina the costs of a chronic disease across the entire spectrum of the population with that disease. For example. the cost of treating obesity begins to drop per patient as effective therapies are distributed across a larger population. Clinical efficiencies and synergies can help eliminate some ethical dilemmas as a result of the overall cost decreasing from the creation of economies of scale and best medical practices. UC Health's weight-loss program has been recognized for its excellence and is considered a "comprehensive center" by the Metabolic and Bariatric Surgery Accreditation and Quality improvement program.

Questions

1. Discuss three strategies or recommendations to care for patients diaanosed with obesity from the perspective of population health management?

2. What are the most significant factors that have led to the obesity crisis in the United States?

3. Describe the coordination of care between providers and patients as it relates to obesity disease management?