The effect of shared medical visits on knowledge and self-care in patients with heart failure: A pilot study

Yehle, Karen S.; Sands, Laura P.; Rhynders, Patricia; Newton, Gail D.

doi:10.1016/j.hrtlng.2008.04.004

Cited by 78 publications

(67 citation statements)

References 12 publications

(20 reference statements)

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“…Usual care patients, however, consistently rated higher levels of satisfaction with their relationship with their clinician compared with SMA peers. Although prior studies have demonstrated patient acceptance of SMAs in subspecialty clinics, [9][10][11][12] the results of this study suggest that large-scale SMA implementation using an established SMA model within primary care may be associated with increased patient satisfaction compared with usual care.Of interest is the observation that SMA patients provided lower physician communication ratings and also reported less time with their physician than in a traditional visit. Several possible explanations could account for this finding.…”

contrasting

confidence: 63%

“…The SMA program was Leonie Heyworth, MD Veterans Administration Boston Healthcare System, Jamaica Plain, Massachusetts integrated practicewide by 2008 and is one of the most publicized examples of large-scale SMA implementation within primary care. 8 On the basis of published studies, the SMA model has gained patient acceptance in subspecialty clinics [9][10][11][12] and chronic disease management. [13][14][15][16] Additionally, SMAs have demonstrated decreased direct medical costs as well as improvements in guideline adherence and glycemic control in diabetes management.…”

Section: Introductionmentioning

confidence: 99%

“…1,[3][4][5] Patient-centered care and satisfaction are increasingly being recognized as essential components of health care quality, 6 and large payers are recognizing patient-centered care as a core element of quality health care delivery and have started to link measures of patient satisfaction to reimbursement. On the basis of published studies, the SMA model has gained patient acceptance in subspecialty clinics [9][10][11][12] and chronic disease management. [13][14][15][16] Additionally, SMAs have demonstrated decreased direct medical costs as well as improvements in guideline adherence and glycemic control in diabetes management.…”

mentioning

confidence: 99%

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Influence of Shared Medical Appointments on Patient Satisfaction: A Retrospective 3-Year Study

Heyworth

Rozenblum

Burgess

et al. 2014

The Annals of Family Medicine

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PURPOSE Shared medical appointments (SMAs) are becoming popular, but little is known about their association with patient experience in primary care. We performed an exploratory analysis examining overall satisfaction and patient-centered care experiences across key domains of the patient-centered medical home among patients attending SMAs vs usual care appointments. METHODSWe undertook a cross-sectional study using a mailed questionnaire measuring levels of patient satisfaction and other indicators of patient-centered care among 921 SMA and 921 usual care patients between 2008 and 2010. Propensity scores adjusted for potential case mix differences between the groups. Multivariate logistic regression assessed propensity-matched patients' ratings of care. Generalized estimating equations accounted for physician-level clustering.RESULTS A total of 40% of SMA patients and 31% of usual care patients responded. In adjusted analyses, SMA patients were more likely to rate their overall satisfaction with care as "very good" when compared with usual care counterparts (odds ratio = 1.26; 95% CI, 1.05-1.52). In the analysis of patientcentered medical home elements, SMA patients rated their care as more accessible and more sensitive to their needs, whereas usual care patients reported greater satisfaction with physician communication and time spent during their appointment.CONCLUSIONS Overall, SMA patients appear more satisfied with their care relative to patients receiving usual care. SMAs may also improve access to care and deliver care that patients find to be sensitive to their needs. Further research should focus on enhancing patient-clinician communication within an SMA as this model of care becomes more widely adopted. INTRODUCTIONS hared medical appointments (SMAs), or group visits, have demonstrated enhanced access and productivity in primary care. 1 The Patient Protection and Affordable Care Act of 2010 has coincided with the emergence of patient-centered medical homes (PCMHs) that are embracing innovative methods of care delivery to increase the role of primary care.2 Organizations transforming their care delivery approach toward a medical home model seek strategies to accommodate increased numbers of patients projected to become insured under the Act. SMAs represent a potential innovation to improve access, cost, disease management outcomes, and patient-centered care. 1,[3][4][5] Patient-centered care and satisfaction are increasingly being recognized as essential components of health care quality, 6 and large payers are recognizing patient-centered care as a core element of quality health care delivery and have started to link measures of patient satisfaction to reimbursement. On the basis of published studies, the SMA model has gained patient acceptance in subspecialty clinics [9][10][11][12] and chronic disease management. [13][14][15][16] Additionally, SMAs have demonstrated decreased direct medical costs as well as improvements in guideline adherence and glycemic control in diabetes management. 3,1...

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contrasting

confidence: 63%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Influence of Shared Medical Appointments on Patient Satisfaction: A Retrospective 3-Year Study

Heyworth

Rozenblum

Burgess

et al. 2014

The Annals of Family Medicine

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“…The raising of awareness associated with multidisciplinary programs to control coronary artery disease (CAD) helps patients achieve an adequate perception of their health status, changing beliefs, behaviors and bad habits [5][6][7][8][9] .…”

Section: Introductionmentioning

confidence: 99%

Construção e validação do "CADE-Q" para educação de pacientes em programas de reabilitação cardíaca

Ghisi¹,

Durieux²,

Manfroi³

et al. 2010

Arq. Bras. Cardiol.

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“…Flynn et al reported a statistically significant improvement in self-efficacy at 52 weeks with group education, but only reported a p-value (p < 0.001) for the total selfefficacy score [16]. The group education and support Yehle et al provided did not improve self-efficacy in self-care [17]. Definitive conclusions about the impact of group education on self-efficacy cannot be made from these three studies.…”

Section: Resultsmentioning

confidence: 90%

Significance of education and self-management support for patients with chronic heart failure in family physician practice

Korzh¹,

Krasnokutskiy²

2016

fmpcr

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Background. Chronic heart failure (CHF) is a disease that requires self-management by the patient, thus it is understood that when they are diagnosed, they need access to relevant information about their disease. Objectives. The purpose of this paper was to ascertain the sources and content of education for patients with CHF and evaluate the use of patient education for self-management support of patients with CHF in primary care. Material and methods. Patients were identified from a patient registry and physician referrals. 371 individuals responded to the questionnaire, and we estimated the effectiveness of patient education. Results. Whilst 91% of patients reported receiving education at the time of diagnosis, it is a concern that 9% say they were not provided information. Only a few patients said they had received education from hospital consultants. After the training, the percentage of patients who kept a diary of introspection increased almost three-fold, the percentage of patients measuring blood pressure and heart rate increased four-fold and measuring body mass increased six-fold. Conclusions. CHF education was mainly delivered in primary care by family physicians. While there have been a growing number of efficacious interventions for patients with CHF, their effectiveness will be limited without self-management support to assist patients in adopting behaviors that contribute to improved health.

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The effect of shared medical visits on knowledge and self-care in patients with heart failure: A pilot study

Cited by 78 publications

References 12 publications

Influence of Shared Medical Appointments on Patient Satisfaction: A Retrospective 3-Year Study

Influence of Shared Medical Appointments on Patient Satisfaction: A Retrospective 3-Year Study

Construção e validação do "CADE-Q" para educação de pacientes em programas de reabilitação cardíaca

Significance of education and self-management support for patients with chronic heart failure in family physician practice

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