Characteristics and Delivery of Diabetes Shared Medical Appointments in North Carolina.
| dc.contributor.author | Drake, Connor | |
| dc.contributor.author | Kirk, Julienne K | |
| dc.contributor.author | Buse, John B | |
| dc.contributor.author | Edelman, David | |
| dc.contributor.author | Shea, Christopher M | |
| dc.contributor.author | Spratt, Susan | |
| dc.contributor.author | Young, Laura A | |
| dc.contributor.author | Kahkoska, Anna R | |
| dc.date.accessioned | 2019-11-06T21:16:48Z | |
| dc.date.available | 2019-11-06T21:16:48Z | |
| dc.date.issued | 2019-09 | |
| dc.date.updated | 2019-11-06T21:16:47Z | |
| dc.description.abstract | BACKGROUND Successful diabetes care requires patient engagement and health self-management. Diabetes shared medical appointments (SMAs) are an evidence-based approach that enables peer support, diabetes group education, and medication management to improve outcomes. The purpose of this study is to learn how diabetes SMAs are being delivered in North Carolina, including the characteristics of diabetes SMAs across the state.METHOD Twelve health systems in the state of North Carolina were contacted to explore clinical workflow and intervention characteristics with a member of the SMA care delivery team. Surveys were used to assess intervention characteristics and delivery.RESULTS Diabetes SMAs were offered in 10 clinics in 5 of the 12 health systems contacted with considerable heterogeneity across sites. The majority of SMAs were open cohorts (80%), offered monthly (60%) for 1.5 hours (60%). SMAs included a mean of 7.5 ± 3.4 patients with a maximum of 11.2 ± 2.7 patients. Survey data revealed barriers (cost-sharing and provider buy-in) to, and facilitators (leadership support and clinical champions) of, clinical adoption and sustained implementation.LIMITATIONS External validity is limited due to the small sample size and geographic clustering.CONCLUSION There is significant heterogeneity in the delivery and characteristics of diabetes SMAs in North Carolina with only modest uptake across the health systems. Further research to determine best practices and effectiveness in diverse, real-world clinical settings is required to inform implementation and dissemination efforts. | |
| dc.identifier | 80/5/261 | |
| dc.identifier.issn | 0029-2559 | |
| dc.identifier.issn | 0029-2559 | |
| dc.identifier.uri | ||
| dc.language | eng | |
| dc.publisher | North Carolina Institute of Medicine | |
| dc.relation.ispartof | North Carolina medical journal | |
| dc.relation.isversionof | 10.18043/ncm.80.5.261 | |
| dc.subject | Humans | |
| dc.subject | Diabetes Mellitus | |
| dc.subject | Health Care Surveys | |
| dc.subject | Appointments and Schedules | |
| dc.subject | North Carolina | |
| dc.title | Characteristics and Delivery of Diabetes Shared Medical Appointments in North Carolina. | |
| dc.type | Journal article | |
| duke.contributor.orcid | Drake, Connor|0000-0002-5393-6246 | |
| duke.contributor.orcid | Edelman, David|0000-0001-7112-6151 | |
| pubs.begin-page | 261 | |
| pubs.end-page | 268 | |
| pubs.issue | 5 | |
| pubs.organisational-group | School of Medicine | |
| pubs.organisational-group | Duke | |
| pubs.organisational-group | Medicine, General Internal Medicine | |
| pubs.organisational-group | Medicine | |
| pubs.organisational-group | Clinical Science Departments | |
| pubs.organisational-group | Medicine, Endocrinology, Metabolism, and Nutrition | |
| pubs.organisational-group | Family Medicine and Community Health, Community Health | |
| pubs.organisational-group | Family Medicine and Community Health | |
| pubs.organisational-group | Staff | |
| pubs.publication-status | Published | |
| pubs.volume | 80 |