%0 Journal Article %A Emily Henderson %T Obesity in primary care: a qualitative synthesis of patient and practitioner perspectives on roles and responsibilities %D 2015 %R 10.3399/bjgp15X684397 %J British Journal of General Practice %P e240-e247 %V 65 %N 633 %X Background Obesity is a top-priority global health issue; however, a clear way to address obesity in primary care is not yet in view.Aim To conduct a meta-ethnography of patient and primary care practitioner perspectives of roles and responsibilities in how to address obesity in the UK, to inform evidence-based services that are acceptable to, and appropriate for, patients and practitioners.Design and setting Qualitative synthesis applying meta-ethnographic methods according to the Noblit and Hare monograph. Database searches in MEDLINE®, Social Sciences Citation Index®, CINAHL, and Health Management Information Consortium were limited to 1997–2012 to examine recent perspectives.Method Full articles of practitioner and/or patient perspectives on obesity services in primary care were reviewed, and included semi-structured or unstructured interviews and focus groups, and participant observations.Results Nine studies were synthesised with perspectives from patients (n = 105) and practitioners (n = 144). Practitioners believe that patients are responsible for obesity, and that primary care should not help, or is poorly equipped to do so. Patients ‘take responsibility’ by ‘blaming’ themselves, but feel that practitioners should demonstrate more leadership. The empowerment of patients to access health services is reliant on the empowerment of practitioners to take an unambiguous position.Conclusion Primary care has the potential either to perpetuate or counter obesity-related stigma. There needs to be a firm decision as to what role primary care will take in the prevention and treatment of obesity. To remain ambiguous runs the risk of losing patients’ confidence and adding to a growing sense of futility. %U https://bjgp.org/content/bjgp/65/633/e240.full.pdf