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Published on: October 3, 2016
Programmed shared medical appointments: A novel procedure for chronic disease management
Garry Egger1, John Stevens2, Christopher Ganora3
1AM, MPH, PhD, Australasian Society for Lifestyle Medicine, CHPR, Director, Fairlight; Adjunct Professor, School of Health Sciences, Southern Cross University, Sydney, NSW. @.
Programmed shared medical appointments (PSMAs) offer a structured group approach to managing complex chronic conditions. This model integrates peer support and education, aligning with the Health Care Homes initiative.
Area of Science:
- Lifestyle Medicine
- Primary Care Innovation
- Chronic Disease Management
Background:
- Shared Medical Appointments (SMAs) were introduced by the Australasian Society of Lifestyle Medicine (ASLM) in 2013 for chronic disease management.
- SMAs have gained traction with the adoption of the Health Care Homes model.
- Programmed Shared Medical Appointments (PSMAs) represent an advancement of SMAs, targeting more complex and specific chronic disease issues.
Purpose of the Study:
- To describe the process of Programmed Shared Medical Appointments (PSMAs).
- To evaluate the potential application of PSMAs within primary care settings.
Main Methods:
- PSMAs involve sequential medical consultations within a group setting.
- The model incorporates peer support and interaction.
- It is delivered through a semi-structured group education format.
Main Results:
- PSMAs are well-suited for the proposed Health Care Homes model.
- Proof of concept for PSMAs is currently under evaluation.
- Potential conditions for PSMA trials include obesity, diabetes, cardiovascular diseases, and chronic pain.
Conclusions:
- PSMAs offer a novel approach to chronic disease management in primary care.
- The model's integration with Health Care Homes shows promise.
- Further trials are needed to validate PSMA efficacy across various chronic conditions.
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