Perceptions of Obesity Among Healthcare Professionals and Policy Makers in 2023: Results of the Global OPEN Survey.

Objective: Obesity is a disease with severe health impacts on individuals and economic impacts on society, yet healthcare practitioners (HCPs) and policy makers often fail to address it. This survey was conducted to examine current global obesity care and perceptions influencing care delivery among HCPs and healthcare decision makers (HC DMs). Methods: A survey with a cross-sectional design was conducted among 1200 HCPs (primary care providers, endocrinologists, cardiologists, and nurses) and 414 HC DMs from eight countries across five continents. Respondents' perceptions of obesity, characteristics of patient populations, obesity management practices, and obesity-related healthcare policies were collected. Surveys were administered online from June-July 2023. All respondent data were anonymized. Results: Among HCPs, 26.4% and 29.0% of HC DMs considered obesity a chronic disease, and 44.6% of HCPs reported that obesity was recorded as a chronic disease in patients' medical records. The pattern of responses was consistent across countries and professional roles. Obesity care approaches focused on lifestyle concerns. HCPs and HC DMs appeared to overestimate the provision of obesity-related medical care for affected patients. Conclusion: These results corroborate prior findings that many HCPs do not consider obesity a disease, which hinders initiation of appropriate treatment, and also highlight challenges in obesity management, including gaps in obesity guidelines and accessibility to healthcare. These findings may help guide education and outreach by health authorities as well as HCPs.