EVIDENCE & RESEARCH

What experience has shown us 

Download case studies & journal papers around Group Consultations (Shared Medical Appointments/Group Clinics)

Rapidly Converting to “Virtual Practices”: Outpatient Care in the Era of Covid-19

Ateev Mehrotra, MD, Kristin Ray, MD, Diane M. Brockmeyer, MD, Michael L. Barnett, MD, Jessica Anne Bender, MD

Vol. No. | April 1, 2020

DOI: 10.1056/CAT.20.0091

Abstract

In the midst of the Covid-19 pandemic, physician practices are turning to telehealth. Across four primary care practices, we describe our experiences in trying to become “virtual practices,” challenges we have faced, and our goals for the coming weeks.

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Remote shared care delivery: a virtual response to COVID-19

Professor Kamalini Ramdas, Faheem Ahmed, Ara Darzi

Abstract

Care providers are adopting virtual consultations to mitigate the risks associated with coronavirus disease 2019 (COVID-19). Remote shared care delivery is one such model, which enables multiple patients to be seen at once, via virtual platforms. Outside of clinical medicine, use of remote shared service delivery has rapidly increased – e.g, in education, here instructors with no prior online teaching experience have been quick to transition.

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A Systems Approach to Embedding Group Consultations in the NHS

Article in the Future Healthcare Journal 2019 Vol 6, No 1: 1–9 by Tania Jones , A,B Ara Darzi , C Garry Egger , D Jeannette Ickovics , E,F Ed Noffsinger , G Kamalini Ramdas , H John Stevens , I Marianne Sumego J and Fraser Birrell.

Abstract:

“Group consultations are an important care option that is starting to gain traction in the USA and Australia. This review summarises the likely benefits accruing from a systems approach to implementing group consultations widely in the NHS and other socialised healthcare systems. Existing evidence is mapped to five distinct systems approaches: (1) development; (2) different age groups; (3) patient-centred pathway of care; (4) NHS system changes; and, (5) education. Implications are discussed for patients and staff, who both benefit from group consultations once embedded; ranging from improved access and efficiency to more enjoyable multidisciplinary team working, improved resource management, and maintained/better outcomes. Moreover, even patients who don’t attend group consultations can benefit from system effects of long-term implementation. Changing behaviour and health systems is challenging, but change requires systematic experimentation and documentation of evidence. We conclude that group consultations have unique potential for delivering system-wide benefits across the NHS.”

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Group Consultations: Evidence & Case Study Overview

Current and emerging evidence and case studies for Group Consultations, across the following speciality areas:

  • Dermatology
  • Rheumatology
  • Gastroenterology
  • Gynaecology
  • Gynaecology
  • Diabetes/
    Primary Care
  • Cardiology
  • Trauma and Orthopaedics
  • Hypertension
  • Urology
  • Other

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Group Consultations: Frequently Asked Questions
  • Why are we doing Group Consultations?

  • What are Group Consultations?

  •  How do Group Consultations work?
  • Is there any evidence Group Consultations work?

  • Why do we need training and coaching to run Group Consultations?

  • Common Mistakes

  • How widely can I apply Group Consultations?

  • What Group Consultations are and what they not?

  • What are the potential efficiency gains?

  • What problems do Group Consultations solve?

  • What kinds of people can I include in my Group Consultations?

  • Are Group Consultations the way forward?

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Croydon CCG Independent Evaluation of Group Consultations
  • High patient acceptability
  • Major improvement in all aspects of patients’ self-management
  • Major improvements in clinical outcomes (Type 2 diabetic patients)
  • High staff acceptability, particularly amongst GPs

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The Evidence for the effectiveness, appropriateness & feasibility of Group Clinics for patients with chronic conditions

A systematic review of evidence from randomised control trials – by Andrew Both et al  – School for Health Related Research (ScHARR), University of Sheffield.

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Group Clinics for young adults with diabetes in an ethnically diverse, socioeconomically deprived setting (together study)

Read about the protocol for a realist review, co-design and mixed methods, participatory evaluation of a new care model.

Source: BMJ Journals

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Shared medical appointments in the UK

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