Group visits improved concordance with American Diabetes Association practice guidelines in type 2 diabetes
Q In uninsured or inadequately insured patients with uncontrolled type 2 diabetes, does healthcare delivery through group visits promote concordance with American Diabetes Association (ADA) standards of care?
randomised controlled trial.
blinded (outcome assessors).
Follow up period:
6 months of treatment.
an adult primary care centre at the Medical University of South Carolina, USA.
120 uninsured or inadequately insured patients >18 years of age (mean age 54 y, 78% women) who had type 2 diabetes and glycated haemoglobin (HBA1c) >8.5%. Exclusion criteria included a primary diagnosis of substance abuse or dependence, pregnancy, dementia, and inability to speak English.
group visits (n = 59) or usual care (n = 61). Group visits were modelled after the Cooperative Health Care Clinics approach. Groups of 19–20 patients were co-led by a primary care physician and a diabetes nurse educator and …