Department of Applied Health Science, Indiana University School of Public Health, 1025 E. 7th St., Suite 296E, Bloomington, IN, 47405, USA.
Pritzker School of Medicine, University of Chicago, Chicago, USA.
BMC Health Serv Res. 2022 Jun 4;22(1):747. doi: 10.1186/s12913-022-08108-w.
Diabetes group visits are shared appointments that include diabetes education in a group setting and individual visits with a medical provider. An 18-month pilot study was designed to evaluate organizational capacity and staff preparedness in implementing and sustaining diabetes group visits.
Data were collected and analyzed from pre-post assessments and key informant interviews with community health center (CHC) staff (N = 26) from teams across five Midwestern states. Overall, participants demonstrated high baseline knowledge and awareness about diabetes group visit implementation. Changes in attitudes and practices did occur pertaining to familiarity with billing and increased awareness about potential barriers to diabetes group visit implementation. Key assets to diabetes group visit implementation were access to pre-designed resources and materials, a highly motivated team, and supportive leadership. Key obstacles were socioeconomic challenges experienced by patients, constraints on staff time dedicated to group visit implementation, and staff turnover.
Results of the study provide a framework for implementation of diabetes group visit trainings for CHC staff. Future research is needed to assess the training program in a larger sample of CHCs.
糖尿病小组访视是一种共享的预约服务，包括在小组环境中进行糖尿病教育和与医疗提供者的个别访视。一项为期 18 个月的试点研究旨在评估在实施和维持糖尿病小组访视方面的组织能力和员工准备情况。
从中西部五个州的社区卫生中心（CHC）工作人员（N=26）的预-后评估和关键知情人访谈中收集和分析了数据。总体而言，参与者对糖尿病小组访视实施的基本知识和认识水平较高。在与计费相关的熟悉程度以及对糖尿病小组访视实施潜在障碍的认识方面，态度和做法确实发生了变化。糖尿病小组访视实施的关键资产包括获得预先设计的资源和材料、积极性高的团队以及支持性的领导层。关键障碍是患者面临的社会经济挑战、用于小组访视实施的员工时间限制以及员工流失。
研究结果为 CHC 工作人员的糖尿病小组访视培训实施提供了框架。需要进一步的研究来评估更大样本的 CHC 中的培训计划。
