Treating type 2 diabetes using shared medical appointments: Patient satisfaction and perspectives

Search for this publication on Google Scholar
Milling, S. (2018). Treating type 2 diabetes using shared medical appointments: Patient satisfaction and perspectives. Unc Charlotte Electronic Theses And Dissertations.
Download PDF

Analytics

231 views ◎
201 downloads ⇓


Abstract

In the U.S., more than 30 million people are living with diabetes. Given the scope of the problem, it is necessary to identify effective, lower cost alternatives to individual medical appointments for diabetes care. Shared medical appointments (SMAs) are a treatment model that addresses many of the mandates outlined in in the Affordable Care Act. In SMAs, a group of patients meet with a physician and other healthcare professionals to discuss medical information and self-management behaviors. SMAs have been found to be associated with improved access and enhanced patient outcomes in comparison to usual care. However, patient satisfaction with the SMA intervention model has been vastly understudied. The main goal of this qualitative study was to conduct a detailed exploration of patient satisfaction with the SMA model. Fourteen patients with type 2 diabetes participated in this focus group study. Thematic analysis was used to analyze the data from the focus groups. Five main themes were found, including the following: 1) patients no longer felt alone in managing their diabetes; 2) improving self-efficacy enhanced their diabetes care; 3) diabetes care requires re-contextualizing eating behaviors; 4) diabetes management is complex; and 5) patients frequently use fear-based messages to increase their level of motivation. Overall, patients were satisfied with the SMA model. This research adds to the diabetes SMA literature, as it highlights the components that are important for patient satisfaction with their medical care.Keywords: shared medical appointment, type 2 diabetes, patient satisfaction

Details
Author

Milling, Sandra

Title

Treating type 2 diabetes using shared medical appointments: Patient satisfaction and perspectives

Physical Description

1 online resource (172 pages) : PDF

Date

2018

Degree Granting Institution

University of North Carolina at Charlotte

Abstract

In the U.S., more than 30 million people are living with diabetes. Given the scope of the problem, it is necessary to identify effective, lower cost alternatives to individual medical appointments for diabetes care. Shared medical appointments (SMAs) are a treatment model that addresses many of the mandates outlined in in the Affordable Care Act. In SMAs, a group of patients meet with a physician and other healthcare professionals to discuss medical information and self-management behaviors. SMAs have been found to be associated with improved access and enhanced patient outcomes in comparison to usual care. However, patient satisfaction with the SMA intervention model has been vastly understudied. The main goal of this qualitative study was to conduct a detailed exploration of patient satisfaction with the SMA model. Fourteen patients with type 2 diabetes participated in this focus group study. Thematic analysis was used to analyze the data from the focus groups. Five main themes were found, including the following: 1) patients no longer felt alone in managing their diabetes; 2) improving self-efficacy enhanced their diabetes care; 3) diabetes care requires re-contextualizing eating behaviors; 4) diabetes management is complex; and 5) patients frequently use fear-based messages to increase their level of motivation. Overall, patients were satisfied with the SMA model. This research adds to the diabetes SMA literature, as it highlights the components that are important for patient satisfaction with their medical care.Keywords: shared medical appointment, type 2 diabetes, patient satisfaction

Genre

doctoral dissertations

Subjects--Topics

Psychology

Degree

Ph.D.

Keywords

Patient Satisfaction
Shared Medical Appointments
Type 2 Diabetes

Subject Area

Health Psychology

Advisor(s)

Peterman, Amy

Committee Members

Webb, Jennifer
Coffman, Maren
Rhodes, Theresa

Degree Note

Thesis (Ph.D.)--University of North Carolina at Charlotte, 2018.

Rights Statement

This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). For additional information, see http://rightsstatements.org/page/InC/1.0/.

Rights Holder Information

Copyright is held by the author unless otherwise indicated.

Identifier

Milling_uncc_0694D_11848

Permalink

http://hdl.handle.net/20.500.13093/etd:369