Integration of Personalized Health Planning and Shared Medical Appointments for Patients with Type 2 Diabetes Mellitus
| Autor: | Sharon K. Hull, Caroline Meade, Connor Drake, Ralph Snyderman, Ashley Price |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
musculoskeletal diseases
Adult Male medicine.medical_specialty Quality Assurance Health Care Office Visits MEDLINE Personalized health Patient Care Planning law.invention InformationSystems_GENERAL 03 medical and health sciences Appointments and Schedules 0302 clinical medicine Patient satisfaction Randomized controlled trial law Diabetes mellitus Health care medicine Humans natural sciences 030212 general & internal medicine Precision Medicine Primary Health Care business.industry 030503 health policy & services Type 2 Diabetes Mellitus General Medicine Precision medicine medicine.disease Group Processes Diabetes Mellitus Type 2 Patient Satisfaction Family medicine Female 0305 other medical science business |
| Zdroj: | Southern medical journal. 111(11) |
| ISSN: | 1541-8243 |
| Popis: | This study describes the feasibility of implementing personalized health planning (PHP) within shared medical appointments (SMAs) for patients with type 2 diabetes mellitus. The PHP-SMA approach was designed to synergize the benefits of SMAs with those of PHP, enabling greater patient engagement focused on meeting individualized therapeutic goals in a group setting.Patients were assigned randomly to a PHP-SMA or a standard eight-session SMA series. Standard SMAs included an interactive educational curriculum delivered in group medical encounters. The PHP-SMA included the addition of a patient self-assessment, health risk assessment, shared patient-provider goal setting, creation of a personal health plan, and follow-up on clinical progress. Clinical and patient-reported outcomes and qualitative data from focus groups with patients, providers, and administrative staff were used for evaluation. Qualitative data explored facilitators and barriers to implementation of the PHP-SMA. The Consolidated Framework for Implementation Research was used to provide insight into implementation factors.PHP was successfully integrated into SMAs in a primary care setting. Patients in the PHP-SMA (n = 12) were more likely to attend ≥5 sessions than patients assigned to the standard SMA (n = 7; 58% PHP, 28.5% control). Qualitative data evaluation described the advantages and barriers to PHP, the team-based approach to care, and patient participation. The PHP-SMA group experienced reductions in hemoglobin A1c, low-density lipoprotein, blood pressure, and body mass index, as well as successful attainment of health goals.The PHP-SMA is a proactive and participatory approach to chronic care delivery that synergizes the benefits of PHP within SMAs. This study describes the components of this intervention; collects evidence on feasibility, acceptability, and clinical outcomes; and identifies implementation barriers and facilitators. The PHP-SMA warrants further evaluation as an approach to improve health outcomes in patients with common chronic conditions. |
| Databáze: | OpenAIRE |
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