Cleveland Clinic, Ohio, USA.
J Cardiovasc Nurs. 2010 Jan-Feb;25(1):13-9. doi: 10.1097/JCN.0b013e3181b8e82e.
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.
改善医疗服务的可及性、健康结果和患者满意度是医疗实践的主要目标。本文概述了共享医疗预约 (SMA) 对患者和提供者的益处、关注点和可能的挑战。SMA 模式旨在通过允许具有相同慢性疾病的患者在小组环境中就诊，来支持提供者繁忙的日程安排。通过专注于患者教育和疾病管理，互动会议为患者提供了一个机会，可以与其他经历类似挑战的人分享成功和挣扎。研究表明，SMA 改善了患者的就诊机会，提高了治疗效果，并提高了患者的满意度。本文描述了 SMA 对慢性心脏病患者的潜在益处，因为这种疾病消耗了大量与住院、急性加重和症状管理相关的医疗保健费用。慢性病自我管理的教育可能会变得重复和耗时。SMA 模式引入了一种新颖独特的医疗保健就诊方式，使提供者能够更多地关注患者并提高工作效率。SMA 模式为执业护士提供了一种卓越的方法，可以通过在小组讨论中引导患者并评估他们的当前健康状况来展示他们作为初级保健提供者的角色。讨论了 SMA 的患者选择、准备和促进，以展示 SMA 方法在医疗实践中的互补性质。
