Dawn E. Clancy|Peng Huang|Eni C. Okonofua|Derik Yeager|Kathryn M. Magruder
Group Visits: Promoting Adherence to Diabetes Guidelines
Medical University of South Carolina|Medical University of South Carolina|Zimmer Biomet (United States)|Medical University of South Carolina|Medical University of South Carolina|Medical University of South Carolina
current diabetes management guidelines offer blueprints providers yet type 2 diabetes control often poor disadvantaged populations group visit new treatment modality originating managed care efficient service delivery patients chronic health problems group visits offer promise delivering care diabetic patients visits lengthier frequent organized educational evaluate effect group visits clinical outcomes concordance 10 american diabetes association ada guidelines american diabetes association diabetes care 28s436 2004 3 united states preventive services task force uspstf cancer screens us preventive services task force httpwwwahrqgovclinicuspstfresourcehtm 2003 12month randomized controlled trial 186 diabetic patients comparing care group visits care traditional patientphysician dyad clinical outcomes hba1c blood pressure bp lipid profiles assessed 6 12 months quality care measures adherence 10 ada guidelines 3 uspstf cancer screens 12 months measurement points hba1c bp lipid levels differ significantly patients attending group visits versus usual care 12 months however patients receiving care group visits exhibited greater concordance ada processofcare indicators p 0001 higher screening rates cancers breast 80 vs 68 p 006 cervix 80 vs 68 p 019 group visits improve quality care diabetic patients modifications content style group visits may necessary achieve improved clinical outcomes