Shared Health Observation

Words: 828
Pages: 4
Open Document
Research suggests diabetes shared medical visits have been used as a way to change the delivery of health care. They combine pharmacological management, patient education and peer support to effect varying patient outcomes from: adherence to ADA guidelines(2014), improving access to care, measures of cardiovascular risk and self-management skills to provider productivity and cost effectiveness ( Clancy, Cope, Magruder, Huang and Wolfman, 2003; Cohen, et al., 2011; Dickman, Pintz, Gold and Kivlahan, 2012; Donjte & Forrest, 2011; Kirsch et al., 2007; Palaniappan, Muzaffar, Wang, Wong, and Orchard , 2011; Simmons & Kapustin 2011; Watts et al., 2009) . Results have shown a positive effect on improving adherence to ADA guidelines (2014), access …show more content…
Shared medical visits have been shown to have a positive effect on weight loss. For example, shared medical visits were conducted over a two year period for 74 overweight patients with a body mass index (BMI) >25kg/m2. Visits provided education and support to promote weight loss (Palaniappan,et al., 2011) Visits were 90 minutes each and consisted of 60 minutes to address individual health concerns followed by 30 minutes of education using content from the U.S Department of Health and Human Services National Diabetes Education program (2014). Weight loss was compared to 356 patients who received comparable care and advice by the same provider during the two year period. Patients who participated in the shared medical visits experienced an average -1% loss of total body weight and -1.1% decrease in baseline BMI. Those who did not participate in shared medical visits experienced a +0.8% weight gain, and +0.8% increase in baseline BMI. It was concluded participants who participated in shared medical visits lost weight compared to those that received standard care. Patients who participated in the most shared medical visits lost the most …show more content…
This is especially relevant for patients with diabetes and hypertension (Dickman, et al., 2012). Thirty seven patients with hypertension and diabetes were offered the opportunity to participate in monthly shared medical visits over a four month period of time. The focus of these visits was to provide self-management education and support, improve self-managing behaviors and set and achieve exercise SMART goals. Eight percent of the patients attended all four visits. Because they engaged in a regular physical activity program, at the end of the program, every patient had a decrease in SBP, and most patients that had an increased A1C and LDL prior to participating in the program showed a reduction. Patients reported they felt supported by their peers, would participate in shared medical visits if they were continued to be offered and would recommend the visits to family or friends.
A shared medical visit program is a promising strategy for improving quality of care and standardizing patient visits, including improving patient education for self-management skills, patient biometric outcomes and feelings of social support. Overall, research supports the use of group medical visits for diabetes management
Show More

Related Documents: Shared Health Observation

Electronic Health Record Analysis

systems, computerized delivery of health care, patient care, information management, medical record linkage, confidentiality, and policy making are all things that come to mind when we think of electronic health record (Terry, 2005). Along with discussing the electronic health record system, SNOMED CT and LOINC will also be discussed due to it’s importance in the medical setting when communicating with other medical professionals. Throughout this paper the electronic health record, SNOMED CT, and LOINC…

Words 543 - Pages 3

Duplicative Care: A Case Study

care” is one of the ways listed by Kocher to improve healthcare (Kocher, 2016). Technology that is shared between the primary care, specialist, hospital, nursing home, and home care could effectively be used to coordinate care. An example of this could be that if a nursing home has already performed a MRSA screen and determined the patient is a carrier, the hospital if the information is shared through an electronic medical record, does not have to repeat the test and can take the appropriate precautions…

Words 294 - Pages 2

Final Handout Essay

a qualitative design where the researcher describes and interprets shared and learned patterns within a culture sharing group in which includes: Values, behaviours, beliefs, and language. Ethnography focuses on an entire culture sharing group, which means that the participant group would be large and would include the researcher to commit themselves to living in the participants environments and engaging in extended observations. An ethnographic researcher will immerse into the environment of the…

Words 499 - Pages 2

The Observation of a 5 Year Old Boy Essay

Play Observation Checklist Observer:_______________ Play Setting:_______________________ Date:_____________ Approximate Child Age:___ Child Gender: M F Hand Preference: L R Initiation of Play Observed Yes No Comments / Questions Behavior Child quickly engages in play Child requires help in getting started Child needs encouragement Child directs his/her own play Child shows initiative or curiosity Child appears impulsive Child initiates…

Words 2211 - Pages 9

Essay about Effective Clinical Reasoning

a technique to promote accurate and timely communication that is structured and standardises communication for patient safety. The Tool SBAR (Situation - Background - Assessment - Recommendation) was introduced by Michael Leonard M.D. as a “shared mental model for the patient’s clinical condition” (Haig et al., 2006, p.168). SBAR has facilitated a structured and standardised approach for effective and timely communication that is critical, especially for patients at risk in the acute care setting…

Words 2018 - Pages 9

Essay about 065 And 029

O65 Outcome 1 (1) The areas of learning and development are Personal, Social and Emotional Development, Communication, Language and Literacy, Problem Solving, Reasoning and Numeracy, Knowledge and Understanding of the World, Physical Development and Creative Development. Personal, Social and Emotional Development - Children are required to develop their own selfesteem and self-confidence. This can be encouraged and supported by practitioners alongside developing their social skills and developing…

Words 2497 - Pages 10

level 5 diploma in leadership for the children and young peoples work force Unit 139 Essay

Page 7 (unit 136 1.1.2) Explain the potential impact has on service provision of different theories and approaches. Cross reference unit 136, page 7 (unit 136 1.1.2) Outcome based services available for children and young people Health visitor Health Visitors are specialists…

Words 2112 - Pages 9

Hospital and Mr. Edmondson Essay examples

strategy officer with Carroll Hospital Center in Westminster, Md., discussed their observations and experiences with accountable care organizations and population health. Mr. Edmondson began the presentation by noting what hospitals need to focus on as their shift their strategy to population health. He said providers should focus on mastering their competencies and building infrastructure in these three areas: health information technology, patient-centered medical homes, and chronic disease management…

Words 603 - Pages 3

Facilitation Reflection

in the removal of his jacket, I attempted own my own, but quickly realized that for the safety of the client, and myself, I needed an attendant’s assistance. Advocated for my client when I shared my knowledge regarding proper hand hygiene with his attendants. Ensured practice was consistent with standards…

Words 973 - Pages 4

Childhood Essay

of all adults who are involved understand that what information is allowed to be shared and the confidentiality of it. Here are some examples where adults working together will enable that child's future to be better. Example 1 A child who is struggling with speach thats in a nursery or children's centre may require a speech therapist and might be able to see that therapist in the same building. Doing a observation and assessment on that child's needs would be so much easier has the child is comfortable…

Words 3374 - Pages 14