Ritchie Natalie D, Gurfinkel Dennis, Sajatovic Martha, Carter Madelaine, Glasgow Russell E, Holtrop Jodi Summers, Waxmonsky Jeanette A, Kwan Bethany M
Center for Health Systems Research, Denver Health & Hospital Authority, Denver, CO.
Department of Psychiatry, University of Colorado Anschutz Medical Campus, Aurora, CO.
Clin Diabetes. 2023 Fall;41(4):526-538. doi: 10.2337/cd23-0015. Epub 2023 Sep 8.
Shared medical appointments (SMAs) are an evidence-based approach to diabetes care in primary care settings, yet practices can struggle to ensure participation, especially among racial and ethnic minority and low-income patients. We conducted a multimethod evaluation of reach and attendance in the Invested in Diabetes study of the comparative effectiveness of two SMA delivery models (standardized and patient-driven) in two practice settings (federally qualified health centers [FQHCs] and clinics serving more commercially insured patients). Through this study, 22 practices reached 6.2% of patients with diabetes through SMAs over 3 years, with good attendance for both practice types and both SMA delivery models. FQHCs were especially successful at enrolling underserved populations and improved attendance with virtual SMAs.
共享医疗预约（SMA）是基层医疗环境中糖尿病护理的一种循证方法，但医疗机构可能难以确保患者参与，尤其是在少数族裔和低收入患者中。我们对“糖尿病投资研究”进行了多方法评估，该研究在两种医疗机构（联邦合格健康中心[FQHC]和服务更多商业保险患者的诊所）中比较了两种SMA提供模式（标准化和患者驱动）的覆盖范围和就诊率。通过这项研究，22家医疗机构在3年时间里通过SMA覆盖了6.2%的糖尿病患者，两种医疗机构类型和两种SMA提供模式的就诊率都很高。FQHC在招募服务不足人群方面特别成功，并且通过虚拟SMA提高了就诊率。
