Impact of diabetes group visits on patient clinical and self-reported outcomes in community health centers.
Impact of diabetes group visits on patient clinical and self-reported outcomes in community health centers.
复制标题
社区卫生中心糖尿病小组来访对患者临床和自我报告结果的影响。
DOI：
10.1186/s12902-022-00972-1
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发表时间：
2022-03-10
影响因子：
2.7
通讯作者：
Quinn MT
中科院分区：
文献类型：
--
作者：
Baig AA;Staab EM;Benitez A;Hermans SP;Ham SA;Wan W;Campbell A;Schaefer CT;Quinn MT
Diabetes group visits (GVs) are a promising way to deliver high quality care but have been understudied in community health centers (CHCs), across multiple sites, or with a focus on patient-centered outcomes. We trained staff and healthcare providers from six CHCs across five Midwestern states to implement a 6-month GV program at their sites. We assessed the impact of diabetes GVs on patient clinical and self-reported outcomes and processes of care compared to patients receiving usual care at these sites during the same period using a prospective controlled study design. CHCs enrolled 51 adult patients with diabetes with glycosylated hemoglobin (A1C) ≥ 8% for the GV intervention and conducted chart review of 72 patients receiving usual care. We analyzed A1C at baseline, 6, and 12 months, low-density lipoproteins (LDL), blood pressure, and patient-reported outcomes. GV patients had a larger decrease in A1C from baseline to 6 months (-1.04%, 95% CI: -1.64, -0.44) and 12 months (-1.76, 95% CI: -2.44, -1.07) compared to usual care; there was no change in blood pressure or LDL. GV patients had higher odds of receiving a flu vaccination, foot exam, eye exam, and lipid panel in the past year compared to usual care but not a dental exam, urine microalbumin test, or blood pressure check. For GV patients, diabetes distress decreased, diabetes-related quality of life improved, and self-reported frequency of healthy eating and checking blood sugar increased from baseline to 6 months, but there was no change in exercise or medication adherence. A diabetes GV intervention improved blood glucose levels, self-care behaviors, diabetes distress, and processes of care among adults with elevated A1Cs compared to patients receiving usual care. Future studies are needed to assess the sustainability of clinical improvements and costs of the GV model in CHCs. The online version contains supplementary material available at 10.1186/s12902-022-00972-1.
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影响因子：
16.2
作者：
Garcia, AA;Villagomez, ET;Hanis, CL
通讯作者：
Hanis, CL
影响因子：
1.4
作者：
Shi, Leiyu;Lebrun, Lydie A.;Zhu, Jinsheng
通讯作者：
Zhu, Jinsheng
影响因子：
16.2
作者：
Trento, M;Passera, P;Porta, M
通讯作者：
Porta, M
影响因子：
4.2
作者：
Eisenstat, Stephanie A.;Ulman, Kathleen;Carlson, Karen
通讯作者：
Carlson, Karen
影响因子：
1.8
作者：
Noya, Carolina Espinosa;Chesla, Catherine;Alkon, Abbey
通讯作者：
Alkon, Abbey