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.
Article
Implementation and Evaluation of Shared Medical Appointments in Veterans With Diabetes: A Quality Improvement Study
Journal of Nursing Administration
Document Type
Peer-Reviewed Article
Publication Date
3-1-2018
Disciplines
Abstract
DOI
10.1097/NNA.0000000000000590
PMID
29461352
Pages
154-159
Citation Information
Omogbai, T. & Milner, K. (2018). Implementation and evaluation of shared medical appointments in veterans with diabetes: A quality improvement study. Journal of Nursing Administration, 48(3), 154-159.
doi: 10.1097/NNA.0000000000000590