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Introduction <p>Bariatric case managers (BCMs) are crucial in serving clients undergoing bariatric surgery in China. Understanding the perspectives of experienced BCMs regarding their roles in bariatric case management remains limited. This study seeks to understand the perceptions of experienced BCMs regarding their roles in bariatric care.</p> Methods <p>This qualitative study utilized semi-structured interviews with 29 experienced BCMs, each having more than three years of involvement in the field or experience with over 1000 patients. Interviews were audio-recorded, transcribed verbatim, and thematically analyzed.</p> Results <p>Three themes emerged regarding BCM perceptions: “The ‘Prevention-Intervention-Feedback’ Closed-Loop System in Comprehensive Safety Management”, “Dual Tension between Emotional Labor and Patient Empowerment”, and “Professional Identity Reconstruction within Systemic Constraints”. Experienced BCMs expressed mixed feelings about their roles, emphasizing safety for patient management. They also advocated standards for BCMs.</p> Conclusion <p>The findings highlight the unique role and contributions of the BCM within the Chinese context. Experienced BCMs prioritize patient safety while providing case management. Developing a national BCM alliance or fostering bariatric nurse specialists who establish standards for bariatric case management is essential for future professionalization. A national care and research platform is advocated for quality improvement.</p> Graphical Abstract <p></p>

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Experienced Chinese Bariatric Case Managers’ Perceptions of their Roles in Bariatric Case Management: A Qualitative Study

  • 期刊论文

  • 发表日期：

    2026年2月16日

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  • Chunqun Li,
  • Changxian Liu,
  • Yanshan Lin,
  • Chao Wang,
  • Chen Zhou,
  • Cheng Zhang,
  • Haiying Li,
  • Hongmei Zhu,
  • Huiqian He,
  • Huiying Yang,
  • Jia Liu,
  • Jing Wang,
  • Lin Yao,
  • Lingchen Xu,
  • Min Zhang,
  • Ningli Yang,
  • Qiubai Jiang,
  • Qiyun Chen,
  • Rijiao Xiao,
  • Ronghui Du,
  • Shiyi Yin,
  • Shuang Wang,
  • Suoying Lei,
  • Tingting Cheng,
  • Wane Zhao,
  • Wen Zhang,
  • Xiaoxia Liu,
  • Xiaozhen Xu,
  • Xu Hu,
  • Yao Li,
  • Liying Liu,
  • Zhihong Su,
  • Wah Yang,
  • Xue Gong

摘要

Introduction

Bariatric case managers (BCMs) are crucial in serving clients undergoing bariatric surgery in China. Understanding the perspectives of experienced BCMs regarding their roles in bariatric case management remains limited. This study seeks to understand the perceptions of experienced BCMs regarding their roles in bariatric care.

Methods

This qualitative study utilized semi-structured interviews with 29 experienced BCMs, each having more than three years of involvement in the field or experience with over 1000 patients. Interviews were audio-recorded, transcribed verbatim, and thematically analyzed.

Results

Three themes emerged regarding BCM perceptions: “The ‘Prevention-Intervention-Feedback’ Closed-Loop System in Comprehensive Safety Management”, “Dual Tension between Emotional Labor and Patient Empowerment”, and “Professional Identity Reconstruction within Systemic Constraints”. Experienced BCMs expressed mixed feelings about their roles, emphasizing safety for patient management. They also advocated standards for BCMs.

Conclusion

The findings highlight the unique role and contributions of the BCM within the Chinese context. Experienced BCMs prioritize patient safety while providing case management. Developing a national BCM alliance or fostering bariatric nurse specialists who establish standards for bariatric case management is essential for future professionalization. A national care and research platform is advocated for quality improvement.

Graphical Abstract