Group Medical Visits: experiences with patient and resident implementation

Expert Rev Endocrinol Metab. 2020 Jan;15(1):51-57. doi: 10.1080/17446651.2020.1717946. Epub 2020 Jan 28.

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.

Keywords: Group medical visits (GMV); centering; chronic disease; diabetes; implementation; patient engagement; resident education; shared medical appointment (SMA).

MeSH terms

  • Continuity of Patient Care / organization & administration*
  • Continuity of Patient Care / statistics & numerical data
  • Diabetes Mellitus / therapy*
  • Female
  • Follow-Up Studies
  • Group Processes*
  • Humans
  • Internship and Residency / organization & administration*
  • Internship and Residency / statistics & numerical data
  • Male
  • Middle Aged
  • Office Visits / statistics & numerical data*
  • Patient Education as Topic*
  • Primary Health Care / organization & administration*
  • Primary Health Care / statistics & numerical data
  • Prognosis
  • Self-Management