Shared medical appointments (SMAs) are an evidence-based approach to diabetes care in primary care settings, yet practices can struggle to ensure participation, especially among racial and ethnic minority and low-income patients. We conducted a multimethod evaluation of reach and attendance in the Invested in Diabetes study of the comparative effectiveness of two SMA delivery models (standardized and patient-driven) in two practice settings (federally qualified health centers [FQHCs] and clinics serving more commercially insured patients). Through this study, 22 practices reached 6.2% of patients with diabetes through SMAs over 3 years, with good attendance for both practice types and both SMA delivery models. FQHCs were especially successful at enrolling underserved populations and improved attendance with virtual SMAs.
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Fall 2023
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September 08 2023
A Multi-Method Study of Patient Reach and Attendance in a Pragmatic Trial of Diabetes Shared Medical Appointments
Natalie D. Ritchie
;
Natalie D. Ritchie
1Center for Health Systems Research, Denver Health & Hospital Authority, Denver, CO
2Department of Psychiatry, University of Colorado Anschutz Medical Campus, Aurora, CO
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Dennis Gurfinkel;
Dennis Gurfinkel
3Adult & Child Center for Outcomes Research & Delivery Science, University of Colorado Anschutz Medical Campus, Aurora, CO
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Martha Sajatovic;
Martha Sajatovic
4Department of Psychiatry, University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH
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Madelaine Carter;
Madelaine Carter
5Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO
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Russell E. Glasgow;
Russell E. Glasgow
3Adult & Child Center for Outcomes Research & Delivery Science, University of Colorado Anschutz Medical Campus, Aurora, CO
6Eastern Colorado Geriatric Research Education and Clinical Center, Aurora, CO
7Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO
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Jodi Summers Holtrop;
Jodi Summers Holtrop
3Adult & Child Center for Outcomes Research & Delivery Science, University of Colorado Anschutz Medical Campus, Aurora, CO
7Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO
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Jeanette A. Waxmonsky;
Jeanette A. Waxmonsky
3Adult & Child Center for Outcomes Research & Delivery Science, University of Colorado Anschutz Medical Campus, Aurora, CO
7Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO
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Bethany M. Kwan
3Adult & Child Center for Outcomes Research & Delivery Science, University of Colorado Anschutz Medical Campus, Aurora, CO
5Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO
7Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO
Corresponding author: Bethany M. Kwan, bethany.kwan@cuanschutz.edu
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Corresponding author: Bethany M. Kwan, bethany.kwan@cuanschutz.edu
Citation
Natalie D. Ritchie, Dennis Gurfinkel, Martha Sajatovic, Madelaine Carter, Russell E. Glasgow, Jodi Summers Holtrop, Jeanette A. Waxmonsky, Bethany M. Kwan; A Multi-Method Study of Patient Reach and Attendance in a Pragmatic Trial of Diabetes Shared Medical Appointments. Clin Diabetes 1 October 2023; 41 (4): 526–538. https://doi.org/10.2337/cd23-0015
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