Evaluation of an Ongoing Diabetes Group Medical Visit in a Family Medicine Practice.

J Am Board Fam Med

From the Jefferson College of Population Health, Philadelphia, PA (DJD, JDJ, AGC); the Department of Medicine, Division of Endocrinology, Diabetes & Metabolic Diseases (SJ), and the Department of Family and Community Medicine (ATC, VD, ML), Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia; and the Department of Public Health, University of Tennessee, Knoxville (RDL).

Published: September 2019

AI Article Synopsis

  • Group medical visits (GMVs) combine individual consultations with group education to support type 2 diabetes management but have limited evaluations in real medical settings.* -
  • This study evaluated GMVs at a large family medicine practice, focusing on attendance rates and comparing outcomes with a matched control group.* -
  • The findings showed no significant improvement in clinical outcomes or care processes for GMV participants, indicating a need for future research to address implementation challenges.*

Article Abstract

Purpose: Group medical visits (GMVs), which combine 1-on-1 clinical consultations and group self-management education, have emerged as a promising vehicle for supporting type 2 diabetes management in primary care. However, few evaluations exist of ongoing diabetes GMVs embedded in medical practices.

Methods: This study used a quasi-experimental design to evaluate diabetes GMV at a large family medicine practice. We examined program attendance and attrition, used propensity score matching to create a matched comparison group, and compared participants and the matched group on clinical, process of care, and utilization outcomes.

Results: GMV participants (n = 230) attended an average of 1 session. Participants did not differ significantly from the matched comparison group (n = 230) on clinical, process of care or utilization outcomes.

Conclusions: The diabetes GMV was not associated with improvements in outcomes. Further studies should examine diabetes GMV implementation challenges to enhance their effectiveness in everyday practice.

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Source
http://dx.doi.org/10.3122/jabfm.2018.02.170373DOI Listing

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