Implementing Shared Medical Appointments for Diabetes
Author Information
Author(s): Susan R. Kirsh, Renée H. Lawrence, David C. Aron
Primary Institution: Louis Stokes Cleveland Veterans Affairs Medical Center
Hypothesis
How can shared medical appointments (SMAs) be effectively implemented in a primary care clinic to improve diabetes care?
Conclusion
Tailoring interventions to the local context and redesigning the system are essential for the sustainability of shared medical appointments.
Supporting Evidence
- Shared medical appointments can improve diabetes management.
- Tailoring interventions to the local context is crucial for success.
- Implementation challenges can hinder the effectiveness of shared medical appointments.
Takeaway
This study shows that group doctor visits can help people with diabetes, but they need to be set up in a way that fits the clinic's needs.
Methodology
An in-depth case analysis using an innovations framework and a nested systems framework approach.
Potential Biases
Potential bias due to the lack of standardized written materials and reliance on recall.
Limitations
The study is retrospective and limited to one local context and one intervention.
Participant Demographics
Patients with diabetes at a primary care clinic, with 25% of the clinic's 11,000 patients having diabetes.
Statistical Information
P-Value
p = 0.002
Confidence Interval
(0.8, 2.1)
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
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