Group visits in medically and economically disadvantaged patients with type 2 diabetes and their relationships to clinical outcomes

Top Health Inf Manage. Jan-Mar 2003;24(1):8-14.

Abstract

To evaluate group visits in the management of underinsured patients with uncontrolled type 2 diabetes, 120 eligible patients enrolled were randomly assigned to receive care in groups or continue usual care. Feasibility, acceptability, and concordance with American Diabetes Association standards of care (Diab Camre. 25[suppl 1]:533-549) were evaluated. Patients who received care in groups exhibited improvement in American Diabetes Association standards of care (p < .001), improved sense of trust in physician (p = .02), and tended to report better coordination of care (p = .07), better community orientation (p = .09), and more culturally competent care (p = .09). Group visits offer a promising model for delivering health care to these patients.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • African Americans / education
  • Aged
  • Aged, 80 and over
  • Ambulatory Care Information Systems
  • Appointments and Schedules
  • Cholesterol / blood
  • Cholesterol / classification
  • Diabetes Mellitus, Type 2 / ethnology
  • Diabetes Mellitus, Type 2 / therapy*
  • Disease Management*
  • Female
  • Glycated Hemoglobin A / analysis
  • Group Processes*
  • Humans
  • Male
  • Medically Uninsured*
  • Middle Aged
  • Primary Health Care / methods*
  • South Carolina
  • Treatment Outcome
  • Vulnerable Populations*

Substances

  • Glycated Hemoglobin A
  • Cholesterol