Evid Based Nurs 7:57 doi:10.1136/ebn.7.2.57
  • Quality improvement

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).

GraphicFollow 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 …

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