Evaluation of an Ongoing Diabetes Group Medical Visit in a Family Medicine Practice

J Am Board Fam Med. Mar-Apr 2018;31(2):279-281. doi: 10.3122/jabfm.2018.02.170373.

Abstract

Purpose: Group medical visits (GMVs), which combine 1-on-1 clinical consultations and group self-management education, have emerged as a promising vehicle for supporting type 2 diabetes management in primary care. However, few evaluations exist of ongoing diabetes GMVs embedded in medical practices.

Methods: This study used a quasi-experimental design to evaluate diabetes GMV at a large family medicine practice. We examined program attendance and attrition, used propensity score matching to create a matched comparison group, and compared participants and the matched group on clinical, process of care, and utilization outcomes.

Results: GMV participants (n = 230) attended an average of 1 session. Participants did not differ significantly from the matched comparison group (n = 230) on clinical, process of care or utilization outcomes.

Conclusions: The diabetes GMV was not associated with improvements in outcomes. Further studies should examine diabetes GMV implementation challenges to enhance their effectiveness in everyday practice.

Keywords: Diabetes Mellitus; Primary Health Care; Propensity Score; Self-Management.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Blood Pressure
  • Body Mass Index
  • Cholesterol, LDL / blood
  • Diabetes Mellitus, Type 2 / blood
  • Diabetes Mellitus, Type 2 / therapy*
  • Family Practice / methods
  • Family Practice / organization & administration*
  • Female
  • Glycated Hemoglobin A / analysis
  • Hospitalization / statistics & numerical data
  • Humans
  • Implementation Science
  • Male
  • Middle Aged
  • Patient Education as Topic*
  • Program Evaluation
  • Referral and Consultation*
  • Retrospective Studies
  • Self-Management / education*
  • Treatment Outcome
  • Young Adult

Substances

  • Cholesterol, LDL
  • Glycated Hemoglobin A
  • hemoglobin A1c protein, human