Evidence map›Paper›PMID 31286876›Full record

SynthesisBMC family practice2019

Shared medical appointments and patient-centered experience: a mixed-methods systematic review.

Kim H Wadsworth, Trevor G Archibald, Allison E Payne, Anita K Cleary, Byron L Haney, Adam S Hoverman

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC family practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 3 pooled it
12.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 3 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Group Medical Care: A Systematic Review of Health Service Performance.International journal of environmental research and public health · 2021
    Pooled it
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  7. The Economic Evaluation of Team Clinic-Group Approach to a Care Model of Early Adolescents With Type 1 Diabetes.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
    Trial
  8. Sustaining Diabetes Shared Medical Appointments After a Pragmatic Trial.Journal of the American Board of Family Medicine : JABFM
    Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Kim H WadsworthPacific Northwest University of Health Sciences, College of Osteopathic Medicine, Yakima, WA, USA. kim_ha@stanfordalumni.org.ORCID 0000-0002-6070-0151
Trevor G ArchibaldPacific Northwest University of Health Sciences, College of Osteopathic Medicine, Yakima, WA, USA.
Allison E PaynePacific Northwest University of Health Sciences, College of Osteopathic Medicine, Yakima, WA, USA.
Anita K ClearyPacific Northwest University of Health Sciences, College of Osteopathic Medicine, Yakima, WA, USA.
Byron L HaneyPacific Northwest University of Health Sciences, College of Osteopathic Medicine, Yakima, WA, USA.
Adam S HovermanMultnomah County Health Department, Oregon Health and Science University-Portland State University School of Public Health, Portland, OR, USA.
Pacific Northwest University of Health Sciences · USPortland State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundShared medical appointments (SMAs), or group visits, are a healthcare delivery method with the potential to improve chronic disease management and preventive care. In this review, we sought to better understand opportunities, barriers, and limitations to SMAs based on patient experience in the primary care context.

methodsAn experienced biomedical librarian conducted literature searches of PubMed, Cochrane Library, PsycINFO, CINAHL, Web of Science, ClinicalTrials.gov , and SSRN for peer-reviewed publications published 1997 or after. We searched grey literature, nonempirical reports, social science publications, and citations from published systematic reviews. The search yielded 1359 papers, including qualitative, quantitative, and mixed method studies. Categorization of the extracted data informed a thematic synthesis. We did not perform a formal meta-analysis.

resultsScreening and quality assessment yielded 13 quantitative controlled trials, 11 qualitative papers, and two mixed methods studies that met inclusion criteria. We identified three consistent models of care: cooperative health care clinic (five articles), shared medical appointment / group visit (10 articles) and group prenatal care / CenteringPregnancy® (11 articles).

conclusionsSMAs in a variety of formats are increasingly employed in primary care settings, with no singular gold standard. Accepting and implementing this nontraditional approach by both patients and clinicians can yield measurable improvements in patient trust, patient perception of quality of care and quality of life, and relevant biophysical measurements of clinical parameters. Further refinement of this healthcare delivery model will be best driven by standardizing measures of patient satisfaction and clinical outcomes.

Indexed as

Primary Health CareShared Medical AppointmentsHumansPatient SatisfactionQuality of LifeCooperative health care clinicCoproductionGroup prenatal careGroup visitHealth servicesPatient experiencePatient satisfactionPrimary carePrimary health careShared medical appointment

Identifiers

PMID31286876
PMCPMC6615093
OpenAlexW2956588989

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.