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Future Implications of Using Registered Dietitians in Multidisciplinary Polycystic Ovary Syndrome Treatment

1
Apex Family Medicine, Denver, CO 80209, USA
2
Department of Human Nutrition and Foods, West Virginia University, Morgantown, WV 26506, USA
3
Department of Pediatrics, Section of Adolescent Medicine, School of Medicine, West Virginia University, Morgantown, WV 26506-9214, USA
4
Department of Obstetrics and Gynecology, School of Medicine, West Virginia University, PO Box 9186 Morgantown, WV 26506-9186, USA
*
Author to whom correspondence should be addressed.
Healthcare 2018, 6(4), 144; https://doi.org/10.3390/healthcare6040144
Received: 4 October 2018 / Revised: 17 November 2018 / Accepted: 5 December 2018 / Published: 8 December 2018
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PDF [225 KB, uploaded 8 December 2018]

Abstract

Polycystic ovary syndrome (PCOS) is the most common reproductive endocrine disorder in females with insulin resistance playing a key role in pathogenesis. The objective of this study was to investigate current trends and future implications of multidisciplinary PCOS clinics with inclusion of dietitians. A two-phase, formative investigation on practitioners was conducted through an anonymous survey followed by focus groups. Survey respondents included 261 health care providers from around the world; the majority (59%) representing multidisciplinary teams. Focus group participants included four dietitians, three physicians, a health psychologist and a licensed nutritionist. Primary barriers for future multidisciplinary clinics included: money/resources, insurance reimbursement, and difference of opinions. Potential advantages included: more comprehensive and integrated care, greater convenience/efficiency, and better long-term outcomes. A majority of respondents (89%) stated that dietitians should be ‘involved’ or ‘highly involved’ in treatment. The greatest challenges for dietitians include insurance, limited disease knowledge, and lack of referrals. Most providers agreed that multidisciplinary clinics would lead to a better prognosis. A greater emphasis needs to be placed on educating professionals on the importance of nutrition counseling. Access to educated dietitians is likely the best way to ensure that PCOS patients have access to lifestyle interventions. View Full-Text
Keywords: multidisciplinary treatment; nutrition interventions; treatment barriers; PCOS; nutrition education multidisciplinary treatment; nutrition interventions; treatment barriers; PCOS; nutrition education
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Wolf, W.M.; Wattick, R.A.; Murray, P.J.; Clemmer, M.; Olfert, M.D. Future Implications of Using Registered Dietitians in Multidisciplinary Polycystic Ovary Syndrome Treatment. Healthcare 2018, 6, 144.

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