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Group Medical Care: A Systematic Review of Health Service Performance

Author

Listed:
  • Shayna D. Cunningham

    (Department of Public Health Sciences, School of Medicine, University of Connecticut, Farmington, CT 06030, USA)

  • Ryan A. Sutherland

    (Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT 06510, USA)

  • Chloe W. Yee

    (Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT 06510, USA)

  • Jordan L. Thomas

    (Department of Psychology, University of California Los Angeles (UCLA), Los Angeles, CA 90095, USA)

  • Joan K. Monin

    (Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT 06510, USA)

  • Jeannette R. Ickovics

    (Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT 06510, USA)

  • Jessica B. Lewis

    (Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT 06510, USA)

Abstract

Group care models, in which patients with similar health conditions receive medical services in a shared appointment, have increasingly been adopted in a variety of health care settings. Applying the Triple Aim framework, we examined the potential of group medical care to optimize health system performance through improved patient experience, better health outcomes, and the reduced cost of health care. A systematic review of English language articles was conducted using the Cochrane Controlled Trials Register (CENTRAL), MEDLINE/PubMed, Scopus, and Embase. Studies based on data from randomized control trials (RCTs) conducted in the US and analyzed using an intent-to-treat approach to test the effect of group visits versus standard individual care on at least one Triple Aim domain were included. Thirty-one studies met the inclusion criteria. These studies focused on pregnancy (n = 9), diabetes (n = 15), and other chronic health conditions (n = 7). Compared with individual care, group visits have the potential to improve patient experience, health outcomes, and costs for a diversity of health conditions. Although findings varied between studies, no adverse effects were associated with group health care delivery in these randomized controlled trials. Group care models may contribute to quality improvements, better health outcomes, and lower costs for select health conditions.

Suggested Citation

  • Shayna D. Cunningham & Ryan A. Sutherland & Chloe W. Yee & Jordan L. Thomas & Joan K. Monin & Jeannette R. Ickovics & Jessica B. Lewis, 2021. "Group Medical Care: A Systematic Review of Health Service Performance," IJERPH, MDPI, vol. 18(23), pages 1-19, December.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:23:p:12726-:d:693662
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    References listed on IDEAS

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    1. Kershaw, T.S. & Magriples, U. & Westdahl, C. & Rising, S.S. & Ickovics, J., 2009. "Pregnancy as a window of opportunity for HIV prevention: Effects of an HIV intervention delivered within prenatal care," American Journal of Public Health, American Public Health Association, vol. 99(11), pages 2079-2086.
    2. Kotelchuck, M., 1994. "The Adequacy of Prenatal Care Utilization Index: Its US distribution and association with low birthweight," American Journal of Public Health, American Public Health Association, vol. 84(9), pages 1486-1489.
    3. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    4. Ickovics, J.R. & Earnshaw, V. & Lewis, J.B. & Kershaw, T.S. & Magriples, U. & Stasko, E. & Rising, S.S. & Cassells, A. & Cunningham, S. & Bernstein, P. & Tobin, J.N., 2016. "Cluster randomized controlled trial of group prenatal care: Perinatal outcomes among adolescents in New York city health centers," American Journal of Public Health, American Public Health Association, vol. 106(2), pages 359-365.
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