Literature DB >> 20134280

Shared medical appointments: improving access, outcomes, and satisfaction for patients with chronic cardiac diseases.

Kelly Bauer Bartley1, Rebecca Haney.   

Abstract

Improving access to care, health outcomes, and patient satisfaction are primary objectives for healthcare practices. This article outlines benefits, concerns, and possible challenges of shared medical appointments (SMAs) for patients and providers. The SMA model was designed to support providers' demanding schedules by allowing patients with the same chronic condition to be seen in a group setting. By concentrating on patient education and disease management, interactive meetings provide an opportunity for patients to share both successes and struggles with others experiencing similar challenges. Studies demonstrated that SMAs improved patient access, enhanced outcomes, and promoted patient satisfaction. This article describes the potential benefits of SMAs for patients with chronic heart disease, which consumes a large number of healthcare dollars related to hospital admissions, acute exacerbations, and symptom management. Education for self-management of chronic disease can become repetitive and time consuming. The SMA model introduces a fresh and unique style of healthcare visits, allowing providers to devote more time and attention to patients and improve productivity. The SMA model provides an outstanding method for nurse practitioners to demonstrate their role as a primary care provider, by leading patients in group discussions and evaluating their current health status. Patient selection, preparation, and facilitation of an SMA are discussed to demonstrate the complementary nature of an SMA approach in a healthcare practice.

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Mesh:

Year:  2010        PMID: 20134280     DOI: 10.1097/JCN.0b013e3181b8e82e

Source DB:  PubMed          Journal:  J Cardiovasc Nurs        ISSN: 0889-4655            Impact factor:   2.083


  18 in total

1.  Influence of shared medical appointments on patient satisfaction: a retrospective 3-year study.

Authors:  Leonie Heyworth; Ronen Rozenblum; James F Burgess; Errol Baker; Mark Meterko; Debra Prescott; Zeev Neuwirth; Steven R Simon
Journal:  Ann Fam Med       Date:  2014-07       Impact factor: 5.166

2.  Multidisciplinary group clinic appointments: the Self-Management and Care of Heart Failure (SMAC-HF) trial.

Authors:  Carol E Smith; Ubolrat Piamjariyakul; Jo A Wick; John A Spertus; Christy Russell; Kathleen M Dalton; Andrea Elyachar; James L Vacek; Katherine M Reeder; Niaman Nazir; Edward F Ellerbeck
Journal:  Circ Heart Fail       Date:  2014-09-18       Impact factor: 8.790

Review 3.  Using Group Medical Visits With Those Who Have Diabetes: Examining the Evidence.

Authors:  Laura M Housden; Sabrina T Wong
Journal:  Curr Diab Rep       Date:  2016-12       Impact factor: 4.810

4.  PROCESS AND SYSTEMS: A systems approach to embedding group consultations in the NHS.

Authors:  Tania Jones; Ara Darzi; Garry Egger; Jeannette Ickovics; Ed Noffsinger; Kamalini Ramdas; John Stevens; Marianne Sumego; Fraser Birrell
Journal:  Future Healthc J       Date:  2019-02

5.  Nonfinancial barriers and access to care for U.S. adults.

Authors:  Jeffrey T Kullgren; Catherine G McLaughlin; Nandita Mitra; Katrina Armstrong
Journal:  Health Serv Res       Date:  2011-08-22       Impact factor: 3.402

6.  Nurse-Led Multidisciplinary Heart Failure Group Clinic Appointments: Methods, Materials, and Outcomes Used in the Clinical Trial.

Authors:  Carol E Smith; Ubolrat Piamjariyakul; Kathleen M Dalton; Christy Russell; Jo Wick; Edward F Ellerbeck
Journal:  J Cardiovasc Nurs       Date:  2015 Jul-Aug       Impact factor: 2.083

7.  Diabetes group visits: integrated medical care and behavioral support to improve diabetes care and outcomes from a primary care perspective.

Authors:  Stephanie A Eisenstat; Kathleen Ulman; Allison L Siegel; Karen Carlson
Journal:  Curr Diab Rep       Date:  2013-04       Impact factor: 4.810

Review 8.  Effectiveness of group medical visits for improving diabetes care: a systematic review and meta-analysis.

Authors:  Laura Housden; Sabrina T Wong; Martin Dawes
Journal:  CMAJ       Date:  2013-08-12       Impact factor: 8.262

Review 9.  Leveraging Time With Lifestyle-Based Group Visits.

Authors:  Shilpa Patel Saxena
Journal:  Am J Lifestyle Med       Date:  2016-06-23

10.  Shared Medical Appointments: A Promising Innovation to Improve Patient Engagement and Ease the Primary Care Provider Shortage.

Authors:  Cheryl D Stults; Mary H McCuistion; Dominick L Frosch; Dorothy Y Hung; Peter H Cheng; Ming Tai-Seale
Journal:  Popul Health Manag       Date:  2015-06-19       Impact factor: 2.290

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