Group Medical Visits: experiences with patient and resident implementation. Issue 1 (2nd January 2020)

• Record Type: Journal Article
• Authors: Kirk, Julienne K; Boyd, Charlotte T; Spangler, John G; Strickland, Carmen G
• Is Part Of: Expert review of endocrinology & metabolism. Volume 15:Issue 1(2020)
• Page Start: 51
• Page End: 57
• Publication Date: 2020-01-02
• Subjects: Group medical visits (GMV) -- shared medical appointment (SMA) -- diabetes -- centering -- resident education -- implementation -- patient engagement -- chronic disease; Endocrinology -- Periodicals; Metabolism -- Periodicals; 616.4
• DOI: 10.1080/17446651.2020.1717946
• Languages: English
• ISSNs: 1744-6651

Abstract

ABSTRACT: Objective : Patients with diabetes must navigate multiple components of care to self-manage their disease. Group Medical Visits (GMVs) are a forum for patients to see a provider as well as actively participate in education and care management with other patients with diabetes. The objective is to describe GMV implementation and resident involvement in a primary care setting. Methods : We adapted and implemented a GMV model into a primary care practice with a residency program. Residents attend GMV sessions that provide a continuity experience in addition to their regular clinic schedules. A cohort of patients enroll in a series of eight GMVs occurring over of 4 months. Each patient and resident complete surveys evaluating the visits. Results : There have been 14 GMV groups totaling 70 participants. GMV groups (N = 67) mean A1C for reduction was 0.53 ± 1.60 from baseline to 3- to 6-month post-GMV follow-up. Resident and patient feedback show an overall positive experience. Conclusion: The GMV model offers patients the setting to interact and exchange experiences with each other as well as to receive feedback from providers and the health-care team. The incorporation of the GMV program into residency training provides a continuity group care experience and an alternative practice model.