Diabetes Group Visits: Integrated Medical Care and Behavioral Support to Improve Diabetes Care and Outcomes from a Primary Care Perspective

被引：28

作者：

Eisenstat, Stephanie A. ^{[1
]}

Ulman, Kathleen ^{[1
]}

Siegel, Allison L. ^{[2
]}

Carlson, Karen ^{[1
]}

机构：

[1] Harvard Univ, Sch Med, Boston, MA USA

[2] John D Stoeckle Ctr Primary Care Innovat, Boston, MA 02114 USA

来源：

CURRENT DIABETES REPORTS | 2013年 / 13卷 / 02期

关键词：

Diabetes; Group visits; Shared medical appointments; Self-management; Behavioral change; Medical care; Behavioral support; QUALITY-OF-LIFE; HEALTH MAINTENANCE ORGANIZATION; SELF-CARE; RANDOMIZED-TRIAL; DEPRESSIVE SYMPTOMS; COMORBID DEPRESSION; GROUP-PSYCHOTHERAPY; STYLE INTERVENTION; CHRONIC DISEASE; MANAGEMENT;

D O I：

10.1007/s11892-012-0349-5

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Of the many innovations in health care delivery proposed in the context of health reform for those with chronic diseases such as diabetes, the group visit model is relatively easy to implement and is effective for improving health outcomes and patient and provider satisfaction, with a neutral to positive effect on health care costs. This article describes the evolution of group visits for those with diabetes, the theory underlying group visits for patients with chronic medical conditions, and the existing evidence for the effectiveness of this model. It also addresses implementation of groups in practice, with an emphasis on the practical aspects of program implementation, integration of behavioral expertise into medical groups, individualization in various practice settings, and reimbursement issues.

引用

页码：177 / 187

页数：11

共 128 条

[61] Group visits: A qualitative review of current research [J].