Table 3 Typical configuration of group models, as represented by included studies in the primary care setting
From: Shared medical appointments and patient-centered experience: a mixed-methods systematic review
Model (no. of articles) | Duration of each group session | Duration of individual consultation | Group size | Clinical intervention | Nonclinical components | Intervention team | |
|---|---|---|---|---|---|---|---|
Disciplines (no. of articles) | Size | ||||||
CHCC (5) | 90–120 min | 5–10 min each at end of group session | 6–20 | Vital signs Lab results review and medical records update Medication management Preventive measures Scheduling Medical-related paperwork requested by pts Brief 1:1 visits with physician, as necessary | Socialization Health education Group cohesion | PCP (5) Nurse, RN or diabetes nurse educator (5) Clinical pharmacist (2) PT, OT (2) Dietitian (2) Community health worker (1) | 2–5 |
SMA / GV(10) | 60–90 min | Optional 10 mins each or 24 mins total allotted at end of group session | 5–15 | Vital signs Lab results review and medical records update Routine lab test orders 1:1 indiv consultation with physician, as necessary Health risk assessment Medication management Referrals, coordination of public health services | Orientation and socialization Interactive health education Group cohesion Self-monitoring Group discussion Medication compliance | 1–2 physicians (9) Nurse, NP, RN (2) Diabetes educator/ RD (4) Clin psychologist, psychopedagogist (3) 1–2 postgraduate med students (1) Others (2) | 2–7 |
GPNC / CPa(11) | 90–120 min | 10 mins each at beginning of group session | 8–12 | Vital signs Physical exam Routine prenatal screening and labs Routine ultrasound Flu vaccine (seasonal) Postpartum visit Individual assessments prior to prenatal care within group setting | Group discussion, self-care, skills-building Active tracking of pregnancy changes (done by pts) Tour of birth unit, labor and delivery nurse Pediatric care resources Postpartum reunion | 1–2 CNMs (8) NP (3) Medical asst (3) Physician (2) Health / perinatal educator (1) Others (1) | 2 + others invited |