• Am J Manag Care · Jun 2011

    Randomized Controlled Trial Comparative Study

    Shared medical appointments in a residency clinic: an exploratory study among Hispanics with diabetes.

    • Natalia Gutierrez, Nora E Gimple, Florence J Dallo, Barbara M Foster, and Emeka J Ohagi.
    • Clinica Mi Doctor, 3144 Bloomfield Ct, Plano, TX 75093, USA. gugis@hotmail.com
    • Am J Manag Care. 2011 Jun 1; 17 (6 Spec No.): e212-4.

    ObjectiveTo assess the feasibility and effectiveness of shared medical appointments (SMAs) among Hispanic patients with diabetes mellitus attending a family medicine residency clinic.Study DesignExploratory and descriptive study.MethodsHispanic patients having diabetes with poor glycemic control (glycated hemoglobin level, >7%) attending a family medicine residency clinic were randomized to an SMA group (n = 50) or a control group (n = 53).The main outcome was glycated hemoglobin level. Secondary outcomes were quality of life and diabetes knowledge.ResultsWhen comparing pre-post measures, there were mean decreases in glycated hemoglobin level of 1.19% for the SMA group (P <.01) and 0.67% for the control group (P = .02).In the SMA group, quality-of-life and diabetes knowledge scores increased by 5 and 1.5 points, respectively (P <.01).ConclusionsImplementing SMAs is feasible and effective among Hispanic patients with diabetes attending a family medicine residency clinic.Health plan managers and policy makers can work with family medicine residents to encourage the use of this model as an alternative approach or in addition to conventional one-on-one interactions with patients.

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