Jones Katherine R, Kaewluang Napatsawan, Lekhak Nirmala
Nurs Econ. 2014 May-Jun;32(3):118-34, 147.
The group visit approach to improve chronic illness self-management appears promising in terms of selected outcomes, but little information is available about best ways to organize and implement group visits. This literature review of 84 articles identified group visit implementation challenges, including lack of a group visit billing code, inadequate administrative support and resources, difficult participant recruitment and retention, and logistical issues such as space and scheduling. Recommendations for future implementation initiatives were also abstracted from the literature. Patients and providers can benefit from well-planned and well-conducted group visits. These benefits include greater patient and provider satisfaction, reduced overall utilization, improved clinical outcomes, and greater provider efficiency and productivity.
就选定的结果而言，采用小组就诊方法来改善慢性病自我管理似乎很有前景，但关于组织和实施小组就诊的最佳方式，目前可用信息很少。这项对84篇文章的文献综述确定了小组就诊实施方面的挑战，包括缺乏小组就诊计费代码、行政支持和资源不足、患者招募和留存困难，以及空间和日程安排等后勤问题。文献中还提炼出了对未来实施举措的建议。患者和医疗服务提供者都能从精心规划和良好开展的小组就诊中受益。这些益处包括患者和医疗服务提供者满意度更高、总体利用率降低、临床结果改善，以及医疗服务提供者效率和生产力提高。
