Implementation and Evaluation of Shared Medical Appointments in Veterans With Diabetes: A Quality Improvement Study

Document Type

Peer-Reviewed Article

Publication Date

3-2018

Abstract

Objective: The aim of this study is to implement and evaluate shared medical appointments (SMA) in veterans with diabetes. Background: Health systems are challenged to meet the complex care needs of veterans with diabetes. Use of SMA has resulted in significant improvements in A1c, blood pressure, and self-management skills in this population. Methods: Shared medical appointments were implemented in a Veterans Administration Health System. A1c, blood pressure, total cholesterol, high-density lipoprotein, low-density lipoprotein, triglycerides, weight, and height were collected at baseline, 3 months, and 6 months; hospitalization anytime; and veteran satisfaction at baseline and 6 months. Results: From October 15, 2015, to March 15, 2016, 30 male veterans with diabetes participated in monthly SMA. Outcome measures except for high-density lipoprotein improved significantly (P < .02) from baseline to 6 months. No veterans were hospitalized. Veteran satisfaction increased significantly (P < .001). Conclusion: Shared medical appointment can be a highly effective intervention for veterans with diabetes. Nursing leaders need to be at the forefront of implementing SMA for populations with chronic conditions.

DOI

10.1097/NNA.0000000000000590

PMID

29461352

Publication

Journal of Nursing Administration

Volume

48

Issue

3

Pages

154-159

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