Browse > Article
http://dx.doi.org/10.14373/JKDA.2012.18.3.266

Doctors' Perception and Needs on Clinical Nutrition Services in Hospitals  

Han, Min-Hye (Dept. of Food Science & Nutrition, Pukyong National University)
Lee, Song-Mi (Dept. of Nutrition, Gangnam Severance Hospital, Yosei University)
Lyu, Eun-Soon (Dept. of Food Science & Nutrition, Pukyong National University)
Publication Information
Journal of the Korean Dietetic Association / v.18, no.3, 2012 , pp. 266-275 More about this Journal
Abstract
The purpose of this study was to evaluate the perception and needs of doctors on clinical nutrition services. A cross-sectional survey design was used. The doctors' perception and needs were assessed by questionnaires that had been specifically designed for the study. The research was conducted from February 14 to March 15, 2011 for 544 doctors at 42 large hospitals (with over 400 beds). Ninety-eight percent of doctors responded that clinical nutrition service was important. The mean scores of importance on clinical nutrition service were 4.45 for 'nutrition screening at admission', 4.50 for 'treatment of malnutrition', and 4.43 for 'nutrition education and counseling'. The mean scores of needs for clinical nutrition service were 4.42 for 'individual nutrition counseling & education' 4.39 for 'nutrition management for malnourished patients' and 'nutrition management for tube fed patients'. The medical specialists showed significantly (P<0.01) higher scores than the residents on the importance and needs for clinical nutrition services. Eighty-five percent of the doctors recognized the necessity of the specialized dietitians classified by diseases. The medical specialists (93.8%) showed significantly (P<0.01) higher recognition of this necessity than the residents (77.7%). The low residents' perceptions of the importance and needs for clinical nutrition services will necessitate clinical nutrition education plans. The departments of clinical nutrition in universities should improve the ability and skills of the clinical dietitians.
Keywords
doctors' perception; needs; clinical nutrition services; clinical dietitian;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Stamler R, Stamler J, Grimm R, Gosch FC, Elmer P, Dyer A, Berman R, Fishman J, Van Heel N, Civinelli J, et al (1987): Nutritional therapy for high blood pressure. Final report of a four-year randomized controlled trial-the Hypertension Control Program. JAMA 257(11):1484-1491   DOI   ScienceOn
2 Tran K, Pascual R, Nguyen N (2011): A survey of ICU physicians' perception on the importance of a clinical dietitian as part of the interdisciplinary team. J Am Diet Assoc 111(9):A-23
3 Adams KM, Lindell KC, Kohlmeier M, Zeisel SH (2006): Status of nutrition education in medical schools. Am J Clin Nutr 83(4):941S-944S
4 Boyhtari ME, Cardinal BJ (1997): The role of clinical dietitians as perceived by dietitians and physicians. J Am Diet Assoc 97(8):851-855   DOI   ScienceOn
5 Cho Y, Lee M, Jang H, Rha M, Kim J, Park Y, Sohn C (2008): The clinical and cost effectiveness of medical nutrition therapy for patients with type 2 diabetes mellitus. Korean J Nutr 41(2):147-155
6 Chung HK, Lee SM, Lee JH, Shin CS (2005): Energy deficiency aggravates clinical outcomes of critically ill patients. Korean J Crit Care Med 20(1):49-53
7 Hart JJ, Hurley RS, Garrison ME, Stombaugh I (1997): Nephrologists' and internal medicine physicians' expectations of renal dietitians and general clinical dietitians. J Am Diet Assoc 97(12):1389-1393   DOI   ScienceOn
8 Jang HS, Kwon CS (1996): Evaluation of necessity of clinical nutrition education in the medical school curriculum. J Korean Soc Food Nutr 25(3):415-422
9 Lyu ES, Eum YR, Lee SM (1998): The medical staffs' perception about nutrition care. J Korean Diet Assoc 4(1):40-52
10 Rha MY (2006): Effects of chronical outcome of hospitalized patients by means of nutritional status. Masters degree thesis. Seoul National University. pp.59-82
11 Robinson G, Goldstein M, Levine GM (1987): Impact of nutritional status on DRG length of stay. JPEN J Parenter Enteral Nutr 11(1):49-51   DOI   ScienceOn
12 Rosen O, Downes NJ, Sucher KP, Shifflett B (1991): Physicians' perceptions of the role of clinical dietitians are changing. J Am Diet Assoc 91(9):1074-1977
13 Ryan AS, Foltz MB, Finn SC (1988): The role of the clinical dietitian: II. Staffing patterns and job functions. J Am Diet Assoc 88(6):679-683
14 Splett PL, Reinhardt MA, Fleming P (1994): Physicians' expectations for quality nutrition expertise and service in prenatal care. J Am Diet Assoc 94(12):1375-1380.   DOI   ScienceOn