Group visits: promoting adherence to diabetes guidelines.
Group visits: promoting adherence to diabetes guidelines.
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DOI：
10.1007/s11606-007-0150-3
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发表时间：
2007-05
影响因子：
5.7
通讯作者：
Magruder, Kathryn Marley
中科院分区：
文献类型：
--
作者：
Clancy, Dawn E.;Huang, Peng;Okonofua, Eni;Yeager, Derik;Magruder, Kathryn Marley
目前的糖尿病管理指南为提供者提供了蓝图，但2型糖尿病控制在弱势群体中往往很差。小组访视是一种新的治疗模式，源于管理式护理，旨在为长期健康问题患者提供有效的服务。团体访问为糖尿病患者提供护理提供了希望，因为访问更频繁，更有组织，更具教育性。为了评价小组访视对临床结局的影响，与10项美国糖尿病协会（ADA）指南[美国糖尿病协会，糖尿病护理，28：S4-36，2004]和3项美国预防服务工作组（USPSTF）癌症筛查[美国预防服务工作组，http：//www.ahrq.gov/clinic/uspstf/resource.htm，2003]保持一致。一项12个月的随机对照试验，对186例糖尿病患者进行了分组访视护理与传统医患二人组护理的比较。在6个月和12个月时评估临床结局（HbA 1c、血压[BP]、血脂谱），并在12个月时评估护理质量指标（遵守10项ADA指南和3项USPSTF癌症筛查）。在这两个测量点，HbA 1c，BP和血脂水平没有显着差异的患者参加组访视与那些在常规护理。然而，在12个月时，在组访视中接受护理的患者与ADA护理过程指标的一致性更高（p < .0001），乳腺癌（80 vs. 68%，p = .006）和宫颈癌（80 vs. 68%，p = .019）的筛查率更高。小组访视可以提高糖尿病患者的护理质量，但可能需要修改小组访视的内容和方式，以改善临床结局。
Current diabetes management guidelines offer blueprints for providers, yet type 2 diabetes control is often poor in disadvantaged populations. The group visit is a new treatment modality originating in managed care for efficient service delivery to patients with chronic health problems. Group visits offer promise for delivering care to diabetic patients, as visits are lengthier and can be more frequent, more organized, and more educational. To evaluate the effect of group visits on clinical outcomes, concordance with 10 American Diabetes Association (ADA) guidelines [American Diabetes Association, Diabetes Care, 28:S4–36, 2004] and 3 United States Preventive Services Task Force (USPSTF) cancer screens [U.S. Preventive Services Task Force, http://www.ahrq.gov/clinic/uspstf/resource.htm, 2003]. A 12-month randomized controlled trial of 186 diabetic patients comparing care in group visits with care in the traditional patient–physician dyad. Clinical outcomes (HbA1c, blood pressure [BP], lipid profiles) were assessed at 6 and 12 months and quality of care measures (adherence to 10 ADA guidelines and 3 USPSTF cancer screens) at 12 months. At both measurement points, HbA1c, BP, and lipid levels did not differ significantly for patients attending group visits versus those in usual care. At 12 months, however, patients receiving care in group visits exhibited greater concordance with ADA process-of-care indicators (p < .0001) and higher screening rates for cancers of the breast (80 vs. 68%, p = .006) and cervix (80 vs 68%, p = .019). Group visits can improve the quality of care for diabetic patients, but modifications to the content and style of group visits may be necessary to achieve improved clinical outcomes.
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影响因子：
1.4
作者：
Mayberry, R;Davis, T;Jones, A
通讯作者：
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影响因子：
5.1
作者：
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发表时间：
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影响因子：
6.3
作者：
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通讯作者：
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影响因子：
16.2
作者：
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