Dawn E Clancy1, Dennis W Cope1, Kathryn Marley Magruder2, Peng Huang3, Kathy H Salter4, Aleatha W Fields1. 1. The Department of Medicine, Medical University of South Carolina, Charleston (Drs Clancy and Cope, and Ms Fields) 2. The Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston (Dr Magruder) 3. The Department of Biometry and Epidemiology, Medical University of South Carolina, Charleston (Dr Huang) 4. Ambulatory Care, Medical University of South Carolina, Charleston (Ms Salter)
Abstract
PURPOSE: This study was conducted to evaluate the feasibility and acceptability of a managed-care approach (group visits) on delivering care to uninsured or inadequately insured patients with type 2 diabetes. METHODS:One hundred twenty patients with uncontrolled type 2 diabetes were randomly assigned to receive care in group visits or usual care for 6 months. At baseline, 3 months, and 6 months, the feasibility and acceptability of this model of healthcare delivery were assessed through the patients' responses to the Primary Care Assessment Tool and the Trust in Physician Scale. Attendance records were kept for each group. RESULTS: Patients who received care in group visits showed an improved sense of trust in their physician compared with patients who continued to receive usual care. There was a tendency for patients in groups to report better coordination of their care, better community orientation, and more culturally competent care. Patient attendance at the groups also indicated good acceptance of this form of healthcare delivery. CONCLUSIONS: Group visits were feasible and acceptable to these uninsured and inadequately insured patients with uncontrolled type 2 diabetes and fostered an improved sense of trust in their physician.
RCT Entities:
PURPOSE: This study was conducted to evaluate the feasibility and acceptability of a managed-care approach (group visits) on delivering care to uninsured or inadequately insured patients with type 2 diabetes. METHODS: One hundred twenty patients with uncontrolled type 2 diabetes were randomly assigned to receive care in group visits or usual care for 6 months. At baseline, 3 months, and 6 months, the feasibility and acceptability of this model of healthcare delivery were assessed through the patients' responses to the Primary Care Assessment Tool and the Trust in Physician Scale. Attendance records were kept for each group. RESULTS:Patients who received care in group visits showed an improved sense of trust in their physician compared with patients who continued to receive usual care. There was a tendency for patients in groups to report better coordination of their care, better community orientation, and more culturally competent care. Patient attendance at the groups also indicated good acceptance of this form of healthcare delivery. CONCLUSIONS: Group visits were feasible and acceptable to these uninsured and inadequately insured patients with uncontrolled type 2 diabetes and fostered an improved sense of trust in their physician.
Authors: Charles E Cunningham; Ken Deal; Heather Rimas; Heather Campbell; Ann Russell; Jennifer Henderson; Anne Matheson; Blake Melnick Journal: Patient Date: 2008-12-01 Impact factor: 3.883
Authors: Elizabeth M Vaughan; Craig A Johnston; Victor J Cardenas; Jennette P Moreno; John P Foreyt Journal: Diabetes Educ Date: 2017-10-19 Impact factor: 2.140
Authors: Urmimala Sarkar; John D Piette; Ralph Gonzales; Daniel Lessler; Lisa D Chew; Brendan Reilly; Jolene Johnson; Melanie Brunt; Jennifer Huang; Marsha Regenstein; Dean Schillinger Journal: Patient Educ Couns Date: 2007-11-07
Authors: George Q Zhang; Joseph K Canner; Elliott Haut; Ronald L Sherman; Christopher J Abularrage; Caitlin W Hicks Journal: J Surg Res Date: 2020-09-24 Impact factor: 2.192