Wen Wan, Research Associate Professor in Biostatistics, Section of General Internal Medicine, University of Chicago, Chicago, IL.
Aviva G. Nathan, Senior Research Project Manager, Section of General Internal Medicine, University of Chicago, Chicago, IL.
J Pediatr Health Care. 2022 Sep-Oct;36(5):430-437. doi: 10.1016/j.pedhc.2022.05.007. Epub 2022 Jul 10.
Glycemic control is challenging for adolescents with type 1 diabetes (T1D). Team Clinic, a shared medical appointment model, has improved psychosocial outcomes in middle school patients with T1D. We aimed to evaluate the costs of delivering Team Clinic.
Participants were randomized into Team Clinic (n = 44) or usual care (n = 42) groups.
We found no significant difference in 6-month total costs per subject ($3,204 [intervention] vs. $3,476 [control]. No significant differences were found in health care use, test strip use, or continuous glucose monitoring and/or pump. The intervention had more clinic visits (2.41 vs. 1.52 times) and a longer length of visit (2.34 vs. 0.74 hr, but no difference in provider time per patient per visit (median, 0.67 vs. 0.68 hr).
The Team Clinic care model may help young adolescents with T1D improve psychosocial outcomes and increase completion of clinical visits without increasing costs.
青少年 1 型糖尿病（T1D）患者的血糖控制具有挑战性。团队诊所是一种共享医疗预约模式，已改善了 T1D 中学生的心理社会结局。我们旨在评估提供团队诊所的成本。
参与者被随机分配到团队诊所（n=44）或常规护理组（n=42）。
我们发现，每例患者 6 个月的总费用无显著差异（干预组为 3204 美元，对照组为 3476 美元）。在医疗保健使用、测试条使用或连续血糖监测和/或泵方面也未发现显著差异。干预组的就诊次数更多（2.41 次 vs. 1.52 次），就诊时间更长（2.34 小时 vs. 0.74 小时，但每次就诊的每位患者的提供者时间无差异（中位数，0.67 小时 vs. 0.68 小时）。
团队诊所护理模式可能有助于改善青少年 T1D 患者的心理社会结局，并增加临床就诊的完成率，而不会增加成本。
