Monday, January 18, 2010
The U.S. Preventive Services Task Force has found benefits from pediatric obesity programs. While treatment is costly, hard to find and hard to follow, the good news is, "you don't have to throw your arms up and say you can't do anything," said task force chairman Dr. Ned Calonge. "This is a recommendation that says there are things that work."
Calonge said the panel recognizes that most pediatricians are not equipped to offer the necessary kind of treatment. The recommendations merely highlight scientific evidence showing what type of programs work. The new advice, published online in the journal Pediatrics.
The most effective treatment often involves counseling parents along with kids, group therapy and other programs that some insurers won't cover. But adequate reimbursement "would be critical" to implementing these programs. Dr. Helen Binns, who runs a nutrition clinic at Chicago's Children's Memorial Hospital, says such programs are scarce partly because they're so costly. Her own hospital — a large institution in one of Chicago's wealthiest neighborhoods — doesn't have one. Many families with obese or overweight children can't afford that type of treatment. And it's not just cost. Many aren't willing to make the necessary lifestyle changes, she said. "It requires a big commitment factor on the part of the parent, because they need to want to change themselves, and change family behavior," Binns said.
Bonnie - another reason why current health reform will most likely fall short. They do not provided reimbursement for services such as mine in either the senate or house bills. As research shows, counseling works. But without reimbursement, services like mine will continue to be scarce.
Posted by firstname.lastname@example.org at 9:42 AM