title: Shared Medical Appointments: A Promising Innovation to Improve Patient Engagement and Ease the Primary Care Provider Shortage.
abstract: The Affordable Care Act has extended coverage for uninsured and underinsured Americans, but it could exacerbate existing problems of access to primary care. Shared medical appointments (SMAs) are one way to improve access and increase practice productivity, but few studies have examined the patient's perspective on participation in SMAs. To understand patient experiences, 5 focus group sessions were conducted with a total of 30 people in the San Francisco Bay Area. The sessions revealed that most participants felt that they received numerous tangible and intangible benefits from SMAs, particularly enhanced engagement with other patients and physicians, learning, and motivation for health behavior change. Most importantly, participants noted changes in the power dynamic during SMA visits as they increasingly saw themselves empowered to impart information to the physician. Although SMAs improve access, engagement with physicians and other patients, and knowledge of patients' health, they also help to ease the workload for physicians.
authors.affiliation: 1 Palo Alto Medical Foundation, Research Institute , Mountain View, California.
authors.forename: Cheryl D
authors.initials: CD
authors.lastname: Stults
authors.affiliation: 2 Essential Anthropology , San Jose, California.
authors.forename: Mary H
authors.initials: MH
authors.lastname: McCuistion
authors.affiliation: 3 Gordon and Betty Moore Foundation , Palo Alto, California.
authors.forename: Dominick L
authors.initials: DL
authors.lastname: Frosch
authors.affiliation: 1 Palo Alto Medical Foundation, Research Institute , Mountain View, California.
authors.forename: Dorothy Y
authors.initials: DY
authors.lastname: Hung
authors.affiliation: 4 Palo Alto Medical Foundation, The Guzik Center for the Advancement of Geriatrics and Palliative Care , Palo Alto, California.
authors.forename: Peter H
authors.initials: PH
authors.lastname: Cheng
authors.affiliation: 1 Palo Alto Medical Foundation, Research Institute , Mountain View, California.
authors.forename: Ming
authors.initials: M
authors.lastname: Tai-Seale
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001071:Appointments and Schedules; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D008875:Middle Aged; D010358:Patient Participation; D058991:Patient Protection and Affordable Care Act; D011320:Primary Health Care; D012495:San Francisco; D014481:United States; D000078329:Workforce