Abstract
Two of the most pressing issues for health care systems around the globe are the increase of chronically ill patients and the shrinking physician workforce, especially in primary care. Policy makers are looking into new models of primary care delivery to increase quality as well as productivity. Group Medical Visits is a model of primary care delivery, which is increasingly gaining attention in North America, Europe and Asia. This case study illustrates the development, structure and outcome of Chronic Health Care Clinics, a Group Visit Model specifically designed for the treatment of the chronically ill in primary care.
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Beck A, Scott JC, Williams P et al (1997) A randomized trial of group outpatients visits for chronically ill older HMO members: the cooperative health care clinic. J Am Geriatr Soc 45:543–549
Brennan J, Hwang D, Phelps K (2010) Group visits and chronic disease management in adults: a review. Am J Lifestyle Med 5:69–84
Conte A, Brandzel M, Whitehead S (1974) Group work with hypertensive patients. Am J Nurs 74:910–912
Edelman D, Fredrickson SK, Melnyk SD et al (2010) Medical clinics versus usual care for patients with both diabetes and hypertension. Ann Intern Med 152:689–696
Health Council of Canada (2012) Self-management support for Canadians with chronic health conditions: a focus for primary health care. Health Council of Canada, Toronto, ON
Housden L, Wong ST, Dawes M (2013) Effectiveness of group medical visits for improving diabetes care: a systematic review and meta-analysis. J Can Med Assoc 185:E635–E644
Jaber R, Braksmajer A, Trilling JS (2006) Group visits: a qualitative review of current research. J Am Board Fam Med 19:276–290
Junling G, Yang L, Junming D, et al. (2012) Evaluation of group visits for Chinese hypertensives based on primary health care center. Asia Pac J Public Heal. doi:10.1177/1010539512442566
Lavoie JG, Wong ST, Chongo M et al (2013) Group medical visits can deliver on patient-centred care objectives: results from a qualitative study. BMC Health Serv Res 13:155. doi:10.1186/1472-6963-13-155
Liu S, Bi A, Fu D et al (2012) Effectiveness of using group visit model to support diabetes patient self-management in rural communities of Shanghai: a randomized controlled trial. BMC Publ Health 12:1–12. doi:10.1186/1471-2458-12-1043
Loney-Hutchinson LM, Provilus AD, Jean-Louis G et al (2009) Group visits in the management of diabetes and hypertension: effect on glycemic and blood pressure control. Curr Diab Rep 9:238–242
Mejino A, Noordman J, van Dulmen S (2012) Shared medical appointments for children and adolescents with type 1 diabetes: perspectives and experiences of patients, parents, and health care providers. Adolesc Health Med Ther 3:75–83
Noffsinger EB (2009) Running group visits in your practice, 1st edn. Springer, New York, NY
Sadur CN, Moline N, Costa M et al (1999) Diabetes management in a health maintenance organization. Efficacy of care management using cluster visits. Diabetes Care 22:2011–2017
Scott JC, Robertson BJ (1996) Kaiser Colorado’s cooperative health care clinic: a group approach to patient care. Manag Care Q 4:41–45
Simon B, Sawicki PT (2014) Gruppensprechstunden – ein neues Instrument in der hausärztlichen Versorgung? Z Allgemeinmed 1:20–25
Trento M, Passera P, Bajardi M et al (2002) Lifestyle intervention by group care prevents deterioration of type II diabetes: a 4-year randomized controlled clinical trial. Diabetologia 45:1231–1239
Trento M, Passera P, Borgo E et al (2004) A 5-year randomized controlled study of learning, problem solving ability, and quality of life modifications in people with type 2 diabetes managed by group care. Diabetes Care 27:670–675
U.S. Department of Health and Human Services (2011) National Diabetes Education Program, National Institutes of Health. Redesigning the health care team: diabetes prevention and lifelong management. U.S. Department of Health and Human Services, Bethesda, MD
World Health Organization (2005) Preparing a health care workforce for the 21st century – the challenge of chronic conditions. World Health Organization, Geneva
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Simon, B. (2015). Group Medical Visits: Primary Care for the Next Century? Rethinking Chronic Care. In: Gurtner, S., Soyez, K. (eds) Challenges and Opportunities in Health Care Management. Springer, Cham. https://doi.org/10.1007/978-3-319-12178-9_31
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DOI: https://doi.org/10.1007/978-3-319-12178-9_31
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