Do Not Abuse Group Visits

2009 ◽  
pp. 225-243
Author(s):  
Edward B. Noffsinger
Keyword(s):  
Group Visits

Group Visits for Asthma Slash Hospitalizations

2009 ◽  
Vol 39 (7) ◽  
pp. 34
Author(s):  
KERRI WACHTER
Keyword(s):  
Group Visits

Why use group visits for opioid use disorder treatment in primary care? A patient-centered qualitative study

2017 ◽  
Vol 39 (1) ◽  
pp. 52-58 ◽  
Author(s):  
Randi Sokol ◽  
Chiara Albanese ◽  
Deviney Chaponis ◽  
Jessica Early ◽  
George Maxted ◽  
...  
Keyword(s):  
Primary Care ◽  
Qualitative Study ◽  
Opioid Use Disorder ◽  
Opioid Use ◽  
Patient Centered ◽  
Group Visits ◽  
Disorder Treatment

Operationalizing and Evaluating Synchronous Virtual Group Health Interventions: Wide-Scale Implementation at a Tertiary-Care Academic Hospital (Preprint)

2021 ◽  
Author(s):  
Neesha Hussain-Shamsy ◽  
Ian McMillan ◽  
Sheridan Cook ◽  
Alyssa Furfaro-Argier ◽  
Andrea Sadler ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Health Service Delivery ◽  
Health Interventions ◽  
Patient Portal ◽  
Academic Hospital ◽  
Implementation Quality ◽  
Group Visits ◽  
Wide Scale ◽  
Video Group

UNSTRUCTURED Group-based health interventions are an important component of health promotion and management. In order to provide continuity of care through the COVID-19 pandemic, our institution undertook a rapid pivot to deliver group-based health interventions via a videoconferencing service which was securely embedded into both the electronic medical record and the patient portal in order to sustainably address immediate health service delivery needs during the pandemic and beyond. In this paper, we: 1) describe the institutionally-driven operationalization of a system to provide integrated synchronous video group visits across our hospital, and 2) present a proposed strategy to comprehensively evaluate outcomes regarding their implementation, quality, and impact. Lessons for other institutions and the potential future role of synchronous video group visits to enhance the ways in which care can be scaled for delivery are discussed.

scholarly journals Taking a Shot at Immunization Adherence

PRiMER ◽  
2017 ◽  
Vol 1 ◽  
Author(s):  
Nathan Potter ◽  
Mila Quinn ◽  
Mark Herring ◽  
Wayne Altman
Keyword(s):  
Vaccine Safety ◽  
The United States ◽  
Long Term Effects ◽  
Group Setting ◽  
Patient Centered ◽  
Vaccination Rates ◽  
Group Visits ◽  
Group Visit ◽  
Parent Concerns ◽  
One Year

Introduction: Decreased vaccination rates in children have played a role in the deaths of several children in the United States over the last decade. Interventions to date have been ineffective at changing vaccination patterns. No studies have evaluated a conciliatory patient-centered approach where parent concerns were acknowledged and addressed in a group setting. Methods: Vaccine-averse parents with incompletely vaccinated children were recruited from a family medicine practice. These parents attended three group visit sessions centered on vaccine safety and efficacy. Pre and post surveys were given at each session. The children’s vaccination records were examined in the year prior and the year following the groups. One year after the group visits, parents were interviewed about their attitudes toward vaccination. Results: There were no significant attitude changes in parents attending the group visits. In the year following the visits, the percentage of recommended vaccines that children had received did not increase. Interviews with parents revealed a broad range of concerns about vaccines and a widespread desire for a longer-term study designed to address these concerns. Conclusions: Surveys and vaccination records revealed no significant change in attitudes or behavior after three group visit sessions, consistent with other research on interventions with vaccine-averse parents. The phone interviews demonstrated a desire for further research into long-term effects of vaccines, with most parents stating that they would consider changing their beliefs if the research was free from commercial bias, addressed their concerns, and was extended out over a long period of time.

Abstract 131: Shared Medical Appointments for Heart Failure Patients Improve Cardiac Health Status

2015 ◽  
Vol 8 (suppl_2) ◽  
Author(s):  
Sandesh Dev ◽  
Kathryn E Williams ◽  
Helen M Hatseras ◽  
Matthew Weyer ◽  
Sona S Hepfinger ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Health Status ◽  
Physical Function ◽  
Summary Score ◽  
Shared Medical Appointments ◽  
Group Visits ◽  
Average Change ◽  
Specific Health

Objective: Heart Failure Shared Medical Appointments (HF SMAs) are group visits in which several HF patients are treated by a clinician(s) at the same time. This intervention is a system redesign that addresses growing health system and patient care burdens in chronic HF management. Group visits have been associated with greater adherence to select HF medications and hospitalization-free survival during the intervention. However, there is little data on patient-reported outcomes such as HF-specific health status, an important outcome that quantifies the impact of the patient’s HF on his or her life. The objective of this pilot study is to determine whether HF SMA is associated with a change in HF-specific health status. The short version Kansas City Cardiomyopathy Questionnaire (KCCQ-12) measures HF-specific health status, including symptoms, physical and social function, and quality of life. Methods: We retrospectively collected patient characteristics by review of medical records for all patients in a VA hospital that completed the full HF SMA intervention (4 visits across 8 weeks). Each patient completed the KCCQ-12 at the beginning of each clinic visit. The primary outcome was change in KCCQ Summary Score(range 0 to 100; higher scores indicate better health status; 5 points is a clinically meaningful change). The secondary outcome was change in KCCQ subscales. Results: Twenty-eight patients (median age 64, median LVEF 35%) completed all four HF SMA visits. The mean KCCQ at baseline was 51. From pre- to post-SMA, the average change in KCCQ-12 Summary Score was +8 (p=0.001). The Quality of Life Subscale was associated with the greatest change (average change,+15, p=0.0003), followed by Symptom Scale (average change +10, p=0.002). There was no significant change in Social Limitation (average change +6, p=0.08) or Physical Function (average change +2, p=0.48). Conclusions: Preliminary findings suggest that a novel group intervention in patients with HF is associated with mild to moderate clinically significant changes in HF-specific health status. Further, HF SMA appears to specifically improve quality of life and symptoms more than physical function. Future clinical trials will be required to determine how these improvements compare to usual care.

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