Group Medical Care: A Systematic Review of Health Service Performance

Shayna D. Cunningham, Ryan A. Sutherland, Chloe W. Yee, Jordan L. Thomas, Joan K. Monin, Jeannette R. Ickovics and Jessica B. Lewis
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Shayna D. Cunningham: Department of Public Health Sciences, School of Medicine, University of Connecticut, Farmington, CT 06030, USA
Ryan A. Sutherland: Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT 06510, USA
Chloe W. Yee: Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT 06510, USA
Jordan L. Thomas: Department of Psychology, University of California Los Angeles (UCLA), Los Angeles, CA 90095, USA
Joan K. Monin: Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT 06510, USA
Jeannette R. Ickovics: Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT 06510, USA
Jessica B. Lewis: Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT 06510, USA

IJERPH, 2021, vol. 18, issue 23, 1-19

Abstract: Group care models, in which patients with similar health conditions receive medical services in a shared appointment, have increasingly been adopted in a variety of health care settings. Applying the Triple Aim framework, we examined the potential of group medical care to optimize health system performance through improved patient experience, better health outcomes, and the reduced cost of health care. A systematic review of English language articles was conducted using the Cochrane Controlled Trials Register (CENTRAL), MEDLINE/PubMed, Scopus, and Embase. Studies based on data from randomized control trials (RCTs) conducted in the US and analyzed using an intent-to-treat approach to test the effect of group visits versus standard individual care on at least one Triple Aim domain were included. Thirty-one studies met the inclusion criteria. These studies focused on pregnancy (n = 9), diabetes (n = 15), and other chronic health conditions (n = 7). Compared with individual care, group visits have the potential to improve patient experience, health outcomes, and costs for a diversity of health conditions. Although findings varied between studies, no adverse effects were associated with group health care delivery in these randomized controlled trials. Group care models may contribute to quality improvements, better health outcomes, and lower costs for select health conditions.

Keywords: group care; triple aim; pregnancy; diabetes; chronic disease management (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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