Department of Family and Community Medicine, Wake Forest School of Medicine, Winston Salem, NC, USA.
Expert Rev Endocrinol Metab. 2020 Jan;15(1):51-57. doi: 10.1080/17446651.2020.1717946. Epub 2020 Jan 28.
: Patients with diabetes must navigate multiple components of care to self-manage their disease. Group Medical Visits (GMVs) are a forum for patients to see a provider as well as actively participate in education and care management with other patients with diabetes. The objective is to describe GMV implementation and resident involvement in a primary care setting.: We adapted and implemented a GMV model into a primary care practice with a residency program. Residents attend GMV sessions that provide a continuity experience in addition to their regular clinic schedules. A cohort of patients enroll in a series of eight GMVs occurring over of 4 months. Each patient and resident complete surveys evaluating the visits.: There have been 14 GMV groups totaling 70 participants. GMV groups (N = 67) mean A1C for reduction was 0.53 ± 1.60 from baseline to 3- to 6-month post-GMV follow-up. Resident and patient feedback show an overall positive experience. The GMV model offers patients the setting to interact and exchange experiences with each other as well as to receive feedback from providers and the health-care team. The incorporation of the GMV program into residency training provides a continuity group care experience and an alternative practice model.
患者患有糖尿病,必须掌握多种护理方法来进行自我疾病管理。小组就诊(GMV)是患者与医疗服务提供者见面的一个平台,同时患者也可与其他糖尿病患者一起积极参与教育和护理管理。其目的是描述初级保健环境下 GMV 的实施情况和住院医师的参与情况。
我们将 GMV 模式进行调整并应用于一个有住院医师项目的初级保健诊所。住院医师参加 GMV 会议,除了常规的诊所日程安排外,还可以获得连续性的体验。一组患者注册参加一系列为期 4 个月、共 8 次 GMV 的活动。每位患者和住院医师都会完成评估就诊情况的调查。
目前已经开展了 14 次 GMV 小组活动,共有 70 名参与者。GMV 小组(N=67)的平均糖化血红蛋白(A1C)从基线到 GMV 随访的 3-6 个月内降低了 0.53±1.60。住院医师和患者的反馈表明整体体验良好。GMV 模式为患者提供了一个互动和交流经验的环境,让他们可以相互交流,还可以从医疗服务提供者和医疗团队那里获得反馈。将 GMV 项目纳入住院医师培训提供了连续性的小组护理体验和替代实践模式。