Group visits in medically and economically disadvantaged patients with type 2 diabetes and their relationships to clinical outcomes.
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.
Clancy
Dawn E
DE
Department of Medicine, Center for Health Care Research, Medical University of South Carolina, Charleston, SC, USA. clancyd@musc.edu
Brown
Shirley B
SB
Magruder
Kathryn M
KM
Huang
Peng
P
D000328:Adult; D001741:Black or African American / Q000193:education; D000368:Aged; D000369:Aged, 80 and over; D000555:Ambulatory Care Information Systems; D001071:Appointments and Schedules; D002784:Cholesterol / Q000097:blood / Q000145:classification; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology / Q000628:therapy*; D019468:Disease Management; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006126:Group Processes; D006801:Humans; D008297:Male; D017057:Medically Uninsured; D008875:Middle Aged; D011320:Primary Health Care / Q000379:methods*; D013022:South Carolina; D016896:Treatment Outcome; D035862:Vulnerable Populations
D002784:Cholesterol; D006442:Glycated Hemoglobin