Online Program

Clinician perspectives on group medical visits

Monday, November 2, 2015

Ariana Thompson-Lastad, Department of Social and Behavioral Sciences, University of California San Francisco, Berkeley, CA
Background: Group medical visits are an increasingly common approach to providing care for pregnant women and people with diabetes, among other populations.  Advocates of group visits have promoted them as an effective care model for reducing health disparities. While some studies have found that group medical visits improve health outcomes (including for low-income people and people of color), little research has examined the perspectives of clinicians who provide group visits.   Study objectives:  This study seeks to (1) describe perspectives of health care providers (physicians, nurse-practitioners, and nurse-midwives) about their roles in group medical visits, and how they see these roles as different from individual care; (2) identify how clinicians define quality of care in group visits and determine appropriate staff and patient populations for this approach.  Methods: This qualitative pilot study included clinicians who provide group medical visits in northern California safety-net clinics (n=6).  In-depth interviews were conducted, coded and analyzed using grounded theory methods.  Results: Four primary themes emerged: differences in clinician roles between individual and group care; group care as better care; tensions over what counts as medical care, and group care as both institutionalized and ad hoc. These findings provide insight into how clinicians view benefits and challenges of providing care in group visits within safety-net settings. Conclusions:  Giving interested providers the opportunity to provide care in group visits may increase their job satisfaction while providing quality care and increasing social support for low-income patients.   Consistent and ongoing organizational support is required to sustain group medical visits.

Learning Areas:

Administer health education strategies, interventions and programs
Chronic disease management and prevention
Provision of health care to the public
Social and behavioral sciences

Learning Objectives:
Discuss the experiences and perspectives of clinicians providing group medical visits. Evaluate lessons learned about group medical visits and their application to existing or planned group visit programs.

Keyword(s): Primary Care, Physicians

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a third year doctoral student with training in qualitative research methods; I have five years of experience facilitating group medical visits in a community health center.
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.