Literature DB >> 26883437

Clinician-Reported Barriers to Group Visit Implementation.

Beth A Careyva1, Melanie B Johnson2, Samantha A Goodrich2, Kyle Shaak2, Brian Stello2.   

Abstract

BACKGROUND: Group visits have been shown to improve disease-oriented outcomes and satisfaction, yet many clinicians have not incorporated them into practice. We aimed to identify clinician-reported barriers that preclude clinicians from implementing group visits.
METHODS: Primary care physicians from one practice-based research network were surveyed regarding their experience with and barriers to group visits. The survey, developed for this study, was mailed to 246 clinicians.
RESULTS: Of 107 respondents (44% response rate), those in practice <10 years were significantly more likely to have had group visit experience than those with >10 years of experience. For those without prior group visit experience, training was named as the top barrier to incorporating group visits. Those with group visit experience named staffing concerns and recruitment as the top barriers to group visit implementation.
CONCLUSIONS: Primary care clinicians without prior group visit experience were less likely to endorse group visits. Addressing the modifiable barriers may enhance the incorporation of group visits into practice.
© The Author(s) 2016.

Keywords:  chronic illness care; diabetes; group visits; health care delivery

Mesh:

Year:  2016        PMID: 26883437      PMCID: PMC5932677          DOI: 10.1177/2150131916631924

Source DB:  PubMed          Journal:  J Prim Care Community Health        ISSN: 2150-1319


  12 in total

Review 1.  Group visits: a qualitative review of current research.

Authors:  Raja Jaber; Amy Braksmajer; Jeffrey S Trilling
Journal:  J Am Board Fam Med       Date:  2006 May-Jun       Impact factor: 2.657

2.  Group visits for chronic illness care: models, benefits and challenges.

Authors:  Raja Jaber; Amy Braksmajer; Jeffrey Trilling
Journal:  Fam Pract Manag       Date:  2006-01

3.  Benefits of participation in diabetes group visits after trial completion.

Authors:  George L Jackson; David Edelman; Maren K Olsen; Valerie A Smith; Matthew L Maciejewski
Journal:  JAMA Intern Med       Date:  2013-04-08       Impact factor: 21.873

4.  Group visits improve metabolic control in type 2 diabetes: a 2-year follow-up.

Authors:  M Trento; P Passera; M Tomalino; M Bajardi; F Pomero; A Allione; P Vaccari; G M Molinatti; M Porta
Journal:  Diabetes Care       Date:  2001-06       Impact factor: 19.112

5.  Group office visits change dietary habits of patients with coronary artery disease-the dietary intervention and evaluation trial (D.I.E.T.).

Authors:  S Masley; S Phillips; J R Copeland
Journal:  J Fam Pract       Date:  2001-03       Impact factor: 0.493

6.  A randomized trial of group outpatient visits for chronically ill older HMO members: the Cooperative Health Care Clinic.

Authors:  A Beck; J Scott; P Williams; B Robertson; D Jackson; G Gade; P Cowan
Journal:  J Am Geriatr Soc       Date:  1997-05       Impact factor: 5.562

7.  Medical clinics versus usual care for patients with both diabetes and hypertension: a randomized trial.

Authors:  David Edelman; Sonja K Fredrickson; Stephanie D Melnyk; Cynthia J Coffman; Amy S Jeffreys; Santanu Datta; George L Jackson; Amy C Harris; Natia S Hamilton; Helen Stewart; Jeannette Stein; Morris Weinberger
Journal:  Ann Intern Med       Date:  2010-06-01       Impact factor: 25.391

8.  Redesigning primary care: a strategic vision to improve value by organizing around patients' needs.

Authors:  Michael E Porter; Erika A Pabo; Thomas H Lee
Journal:  Health Aff (Millwood)       Date:  2013-03       Impact factor: 6.301

9.  Group prenatal care and perinatal outcomes: a randomized controlled trial.

Authors:  Jeannette R Ickovics; Trace S Kershaw; Claire Westdahl; Urania Magriples; Zohar Massey; Heather Reynolds; Sharon Schindler Rising
Journal:  Obstet Gynecol       Date:  2007-08       Impact factor: 7.661

Review 10.  Shared medical appointments for patients with diabetes mellitus: a systematic review.

Authors:  David Edelman; Jennifer M Gierisch; Jennifer R McDuffie; Eugene Oddone; John W Williams
Journal:  J Gen Intern Med       Date:  2014-08-09       Impact factor: 5.128

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  2 in total

Review 1.  Diabetes Management in Community Health Centers: a Review of Policies and Programs.

Authors:  A Taylor Kelley; Robert S Nocon; Matthew J O'Brien
Journal:  Curr Diab Rep       Date:  2020-02-06       Impact factor: 4.810

2.  Integrative Group Medical Visits: A National Scoping Survey of Safety-Net Clinics.

Authors:  Ariana Thompson-Lastad; Paula Gardiner; Maria T Chao
Journal:  Health Equity       Date:  2019-01-25
  2 in total

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