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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
  1. Abbreviations: CHCC Cooperative health care clinic, CNM Certified nurse midwife, CP CenteringPregnancy®, GPNC Group prenatal care, GV Group visit, NP Nurse practitioner, OT Occupational therapist, PCP Primary care physician, PT Physical therapist, RD Registered dietitian, RN Registered nurse, SMA Shared medical appointment
  2. aWk 5–10: First visit w/ nurse. Wk 10–12: First visit with clinician. Wk 12–16: Start CP program