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Group visits in diabetes care: a systematic review
Susan Braun Riley1, Elaine Sorensen Marshall2
1The Family Health Care Center, Georgia Southern University, Statesboro, Georgia (Ms Riley)
The Diabetes Educator
|October 27, 2010
Summary
Group visits for diabetes care, combining education and medical management, show potential for cost reduction and improved satisfaction. However, consistent statistical improvements in key health indicators like A1C were not demonstrated, requiring further research.
Area of Science:
- Endocrinology
- Primary Care Medicine
- Health Services Research
Background:
- Diabetes mellitus management requires integrated patient education and medical care.
- Traditional brief office visits may not fully address the complex needs of patients with diabetes.
- Group visits offer a potential alternative model for delivering comprehensive diabetes care.
Purpose of the Study:
- To appraise the research evidence on the effectiveness of group visits for individuals with diabetes.
- To examine the role and implications of certified diabetes educators (CDEs) within group visit models.
- To evaluate the impact of group visits on patient education and medical management.
Main Methods:
- A comprehensive literature search was conducted across multiple databases.
- Inclusion criteria were applied to select relevant articles for review.
- The review included 4 review articles and 8 original research articles.
Main Results:
- Group visits integrating education and medical management did not consistently show statistically significant improvements in A1C, blood pressure, or lipids.
- Evidence suggests potential benefits in cost reduction, some physiological outcomes, and enhanced patient and clinician satisfaction.
- The reviewed studies analyzed outcomes related to group visits in diabetes care.
Conclusions:
- Current diabetes-focused group visit models require further investigation and testing.
- The model needs evaluation in diverse healthcare settings, including private primary care and rural practices.
- Future research should focus on refining group visit structures to optimize patient outcomes and satisfaction.
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