title: Group visits in the management of diabetes and hypertension: effect on glycemic and blood pressure control.
abstract: Diabetes is a major public health problem that is reaching epidemic proportions in the United States and worldwide. Over 22 million Americans currently have diabetes and it is forecast that over 350 million people worldwide will be affected by 2030. Furthermore, the economic cost of diabetes care is enormous. Despite current efforts on the part of health care providers and their patients, outcomes of care remain largely suboptimal, with only 3% to 7% of the entire diabetes population meeting recommended treatment goals for glycemic, blood pressure, and lipid control. Therefore, alternative approaches to diabetes care are desperately needed. Group visits may provide a viable option for patients and health care providers, with the potential to improve outcomes and cost effectiveness. In this review, we highlight the magnitude of the diabetes epidemic, the barriers to optimal diabetes care, and the utility of the concept of group visits as a chronic disease management strategy for diabetes care.
authors.affiliation: Division of Endocrinology, State University of New York-Downstate Medical Center, Kings County Hospital Center, Brooklyn, NY 11203, USA. lisel. loney-hutchinson@downstate.edu
authors.forename: Lisel M
authors.initials: LM
authors.lastname: Loney-Hutchinson
authors.forename: Alfrede D
authors.initials: AD
authors.lastname: Provilus
authors.forename: Girardin
authors.initials: G
authors.lastname: Jean-Louis
authors.forename: Ferdinand
authors.initials: F
authors.lastname: Zizi
authors.forename: Olugbenga
authors.initials: O
authors.lastname: Ogedegbe
authors.forename: Samy I
authors.initials: SI
authors.lastname: McFarlane
mesh_terms: D017281:Cost of Illness; D003362:Cost-Benefit Analysis; D003924:Diabetes Mellitus, Type 2 / Q000191:economics*; D019468:Disease Management; D006126:Group Processes; D006801:Humans; D006973:Hypertension / Q000191:economics*; D011785:Quality Assurance, Health Care / Q000379:methods; D014481:United States