Palo Alto Medical Foundation Research Institute, Health Policy Research, Palo Alto, CA 94301, USA.
J Am Board Fam Med. 2011 May-Jun;24(3):326-8. doi: 10.3122/jabfm.2011.03.100220.
Shared medical appointments (SMAs) are 90-minute group appointments for patients with similar medical complaints. SMAs include components of a traditional office visit but provide further emphasis on health education. The effectiveness of SMAs on weight-loss in an outpatient setting has not been studied.
Weight-loss SMAs were offered by one physician at the Palo Alto Medical Foundation. Teaching content included Diabetes Prevention Program materials. This analysis includes patients who attended at least one SMA (n = 74) compared with patients in the same physician's practice who had at least one office visit and a body mass index ≥ 25 kg/m(2) (n = 356).
The SMA group had a higher proportion of women than the comparison group (76% vs 64%) and were older (mean, 52.4 years; SD, 13.1 years vs mean, 47.0 years; SD, 13.3 years). SMA patients on average lost 1.0% of their baseline weight. Patients in the comparison group on average gained 0.8% of their baseline weight.
SMAs may be a viable option for physicians to promote weight loss in the clinical setting.
共病患者的医疗预约（SMAs）是一种针对具有相似医疗投诉的患者的 90 分钟集体预约。SMAs 包括传统就诊的部分内容，但更加强调健康教育。在门诊环境中，SMAs 对减肥的有效性尚未得到研究。
减肥 SMA 由 Palo Alto 医疗基金会的一位医生提供。教学内容包括糖尿病预防计划的材料。本分析包括至少参加一次 SMA（n = 74）的患者与同一位医生的实践中至少有一次就诊且体重指数≥25 kg/m2（n = 356）的患者进行比较。
SMA 组的女性比例高于对照组（76% vs 64%），年龄也更大（平均 52.4 岁，标准差 13.1 岁 vs 平均 47.0 岁，标准差 13.3 岁）。SMA 患者平均减轻了其基线体重的 1.0%。对照组患者的平均体重增加了其基线体重的 0.8%。
SMAs 可能是医生在临床环境中促进减肥的可行选择。
