142nd APHA Annual Meeting and Exposition

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Application of the group visit model in the pediatric heart transplant clinic

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 9:09 AM - 9:21 AM

Lan Doan, MPH, CPH , Pediatric Cardiology, Stanford University, Palo Alto, CA
Nancy McDonald, CPNP , Lucile Packard Children's Hospital, Pediatric Heart Failure & Transplantation, Stanford University Medical Center, Palo Alto, CA
Donna Lee, RN, CPNP , Lucile Packard Children's Hospital, Pediatric Heart Failure & Transplantation, Stanford University Medical Center, Palo Alto, CA
David Rosenthal, MD , Department of Pediatrics (Cardiology), Stanford University, Palo Alto, CA
Seth Hollander, MD , Department of Pediatrics (Cardiology), Stanford University, Palo Alto, CA
  
Audio (mp3) recording Recorded Presentation (mp4)
Background: Originally designed for well-child consultations, the group visit model has emerged as an effective tool for outpatient chronic disease management. The purpose of this study was to examine the feasibility of the group visit model as an alternative to traditional patient-physician visits in a pediatric heart transplant clinic.

Methods: Six participants, ages 2-18 years old, and their families participated in group visits in one or three month intervals, based on whether they were greater or less than one year post-transplant. During the first half of the visit, participants were seen for 10-minute physical exams and to review medications and labs, after which the physician/nurse practitioner led group visit was conducted for an hour. Visits focused on medication compliance and health management, with an emphasis on peer education and support from participant interactions with one another. Feasibility was evaluated through attendance, healthcare retention, medication compliance, healthcare utilization, and patient-provider satisfaction.

Results: The group visit model was feasible with 100% attendance in both groups.  All participants rated their satisfaction as “very good” and would “strongly recommend” group visits to family/friends.   Participants also “strongly agreed” that they were comfortable communicating heart transplant issues in the group setting.

Conclusion: Preliminary results suggest the group visit model is feasible in a pediatric heart transplant clinic.  Future studies are required to better understand the utility of the model in this and other pediatric subspecialties.

Learning Areas:

Chronic disease management and prevention
Clinical medicine applied in public health

Learning Objectives:
Evaluate the feasibility of the group visit model in the pediatric heart transplant clinic. Describe the effectiveness of the group visit model on patient and physician satisfaction.

Keyword(s): Pediatrics, Chronic Disease Management and Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be an abstract author because I am the clinical research coordinator for this study and other PI-initiated/industry-sponsored studies in the Department of Pediatric Cardiology at Lucile Packard Children’s Hospital- Stanford University. I have a Masters of Public Health, with a focus in Community Health and Education, and have over five years of research experience. My public health research interests include health disparities and inequities among underserved populations and community-based participatory research.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 4053.0: Children with Special Health Care Needs: Treatment Models and Service Systems