Shared Medical Appointments: Challenges and Opportunities
Authors: Andrea Sikon, David L. Bronson
Journal: Annals of Internal Medicine (2010)

Editorials1 June 2010Shared Medical Appointments: Challenges and OpportunitiesAndrea Sikon, MD and David L. Bronson, MDAndrea Sikon, MDFrom Cleveland Clinic Foundation, Cleveland, OH 44195. and David L. Bronson, MDFrom Cleveland Clinic Foundation, Cleveland, OH 44195.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-152-11-201006010-00012 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail A "perfect storm" is placing increased stress on our health care system. The forces involved include the aging of the baby boomer population, the growing obesity epidemic, scientific advances in treatment options, and the anticipated growth in insured patients due to recent health care reforms. These factors will substantially increase the number of patients who present for care of multiple chronic diseases, with an associated increase in medical expenditures. At the same time, the number of medical school graduates who enter and sustain careers in general internal medicine and family medicine in the United States are at historically low levels. ...References1. Noffsinger E. Will drop-in group medical appointments (DIGMAS) work in practice? Permanente J. 1999;3:58-67. Google Scholar2. Page C, Reid A, Hoagland E, Leonard SB. WellBabies: mothers' perspectives on an innovative model of group well-child care. Fam Med. 2010;42:202-7. [PMID: 20204896] MedlineGoogle Scholar3. Griffin BL, Burkiewicz JS, Peppers LR, Warholak TL. International normalized ratio values in group versus individual appointments in a pharmacist-managed anticoagulation clinic. Am J Health Syst Pharm. 2009;66:1218-23. [PMID: 19535661] CrossrefMedlineGoogle Scholar4. Thacker HL, Maxwell R, Saporito J, Bronson D. Shared medical appointments: facilitating interdisciplinary care for midlife women. J Womens Health (Larchmt). 2005;14:867-70. [PMID: 16313217] CrossrefMedlineGoogle Scholar5. Edelman D, Fredrickson SK, Melnyk SD, Coffman CJ, Jeffreys AS, Datta S, et al. Medical clinics versus usual care for patients with both diabetes and hypertension. A randomized trial. Ann Intern Med. 2010;152:689-96. LinkGoogle Scholar6. Beck A, Scott J, Williams P, Robertson B, Jackson D, Gade G, et al. A randomized trial of group outpatient visits for chronically ill older HMO members: the Cooperative Health Care Clinic. J Am Geriatr Soc. 1997;45:543-9. [PMID: 9158573] CrossrefMedlineGoogle Scholar7. Levine MD, Ross TR, Balderson BH, Phelan EA. Implementing group medical visits for older adults at group health cooperative. J Am Geriatr Soc. 2010;58:168-72. [PMID: 20002506] CrossrefMedlineGoogle Scholar8. Lown B. Reaching agreement [Subscription required]. 2009. Accessed at webcampus.drexelmed.edu/doccom/user/default.asp on 27 April 2010. Google Scholar9. Kirsh SR, Lawrence RH, Aron DC. Tailoring an intervention to the context and system redesign related to the intervention: A case study of implementing shared medical appointments for diabetes. Implement Sci. 2008;3:34. [PMID: 18533021] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Andrea Sikon, MD; David L. Bronson, MDAffiliations: From Cleveland Clinic Foundation, Cleveland, OH 44195.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M10-1000.Corresponding Author: David L. Bronson, MD, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195.Current Author Addresses: Drs. Sikon and Bronson: Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoMedical Clinics Versus Usual Care for Patients With Both Diabetes and Hypertension David Edelman , Sonja K. Fredrickson , Stephanie D. Melnyk , Cynthia J. Coffman , Amy S. Jeffreys , Santanu Datta , George L. Jackson , Amy C. Harris , Natia S. Hamilton , Helen Stewart , Jeannette Stein , and Morris Weinberger Metrics Cited byDelivering diabetes shared medical appointments in primary care: early and mid-program adaptations and implications for successful implementationImpact of Collaborative Shared Medical Appointments on Diabetes Outcomes in a Family Medicine ClinicThe Effect of Written Information on Recall of Surgical Risks of Carpal Tunnel Release SurgeryShared medical appointments as a new model for carpal tunnel surgery consultation: A randomized clinical trialWhat is the evidence for the effectiveness, appropriateness and feasibility of group clinics for patients with chronic conditions? A systematic reviewPatient and operational factors affecting wait times in a bariatric surgery program in Toronto: a retrospective cohort studyShared Medical Appointments for Preoperative Evaluation of Symptomatic MacromastiaToward a Strategy of Patient-Centered Access to Primary CarePractice in a Rural SettingThe Annual Wellness Visit Shared Medical AppointmentDiabetes Group Visits: Integrated Medical Care and Behavioral Support to Improve Diabetes Care and Outcomes from a Primary Care PerspectiveThe group medical appointment (GMA) in haemophilia and von Willebrand's disease: a new development in outpatient paediatric care 1 June 2010Volume 152, Issue 11Page: 745-746KeywordsAgingChartsForecastingGraduate medical educationHealth careObesityPharmacistsStormsVeteran care ePublished: 1 June 2010 Issue Published: 1 June 2010 Copyright & PermissionsCopyright © 2010 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...