Tam Emily K, De Arrigunaga Sofia, Shah Madhura, Kefella Haben, Soriano Scarlet, Rowe Susannah
Department of Ophthalmology, Boston University Medical Center, Boston, USA.
Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, USA.
Semin Ophthalmol. 2022 Jan 2;37(1):17-22. doi: 10.1080/08820538.2021.1896758. Epub 2021 Mar 15.
Shared Medical Appointments (SMAs) are patient-centered care tools designed to administer patient counseling and education, typically delivered individually, in a group setting. SMAs are effective in facilitating peer-learning, resulting in improvement in knowledge and health behavior. This study aimed to implement what we know of as the first ophthalmology SMA done in the United States. We evaluated the implementation feasibility, patient and provider experience, changes in patient knowledge, and provider stress. Five glaucoma patients who expressed issues with adherence during their clinic visit at Boston Medical Center (BMC) who were interested in the SMA were recruited. Patients and staff had a positive experience with the SMA. There was a marked increase in patient glaucoma knowledge and a decrease in average staff member stress level score during the SMA. From all standpoints, including billing and management, we conclude that SMA implementation is feasible in ophthalmology departments in academic settings.
共享医疗预约（SMA）是以患者为中心的护理工具，旨在进行患者咨询和教育，通常在小组环境中进行，而不是单独进行。SMA在促进同伴学习方面很有效，从而改善知识和健康行为。本研究旨在实施我们所知的美国首例眼科SMA。我们评估了实施的可行性、患者和提供者的体验、患者知识的变化以及提供者的压力。招募了五名在波士顿医疗中心（BMC）门诊就诊时表示在依从性方面存在问题且对SMA感兴趣的青光眼患者。患者和工作人员对SMA有积极的体验。在SMA期间，患者的青光眼知识有显著增加，工作人员的平均压力水平得分有所下降。从包括计费和管理在内的所有角度来看，我们得出结论，SMA在学术环境的眼科部门实施是可行的。
