Impact of a Multidisciplinary, Endocrinologist-Led Shared Medical Appointment Model on Diabetes-Related Outcomes in an Underserved Population
Author(s) -
Valerie S. Ganetsky,
Judith A. Long,
Nandita Mitra,
Krisda H. Chaiyachati,
Steven Kaufman
Publication year - 2020
Publication title -
diabetes spectrum
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.716
H-Index - 31
eISSN - 1944-7353
pISSN - 1040-9165
DOI - 10.2337/ds19-0026
Subject(s) - medicine , multidisciplinary approach , primary care , diabetes mellitus , specialty , family medicine , population , endocrinology , environmental health , social science , sociology
A multidisciplinary endocrinologist-led shared medical appointment (SMA) model showed statistically significant reductions in A1C from baseline over 3 years that were not significantly different from appointments with endocrinologists or primary care providers alone within a resource-poor population. Similarly, the SMA model achieved clinical outcomes on par with endocrinologist-only visits with the added benefit of improving endocrine provider productivity and specialty access for patients. Greater patient engagement with the SMA model was associated with significantly lower A1C.
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