Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Jul;7(3):188-93.
doi: 10.1177/2150131916631924. Epub 2016 Feb 16.

Clinician-Reported Barriers to Group Visit Implementation

Affiliations

Clinician-Reported Barriers to Group Visit Implementation

Beth A Careyva et al. J Prim Care Community Health. 2016 Jul.

Abstract

Background: Group visits have been shown to improve disease-oriented outcomes and satisfaction, yet many clinicians have not incorporated them into practice. We aimed to identify clinician-reported barriers that preclude clinicians from implementing group visits.

Methods: Primary care physicians from one practice-based research network were surveyed regarding their experience with and barriers to group visits. The survey, developed for this study, was mailed to 246 clinicians.

Results: Of 107 respondents (44% response rate), those in practice <10 years were significantly more likely to have had group visit experience than those with >10 years of experience. For those without prior group visit experience, training was named as the top barrier to incorporating group visits. Those with group visit experience named staffing concerns and recruitment as the top barriers to group visit implementation.

Conclusions: Primary care clinicians without prior group visit experience were less likely to endorse group visits. Addressing the modifiable barriers may enhance the incorporation of group visits into practice.

Keywords: chronic illness care; diabetes; group visits; health care delivery.

PubMed Disclaimer

Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Factors that prevent clinicians from incorporating group visits in practice.

References

    1. Institute for Healthcare Improvement. IHI Triple Aim Initiative. 2014. http://www.ihi.org/Engage/Initiatives/TripleAim/pages/default.aspx. Accessed February 19, 2015.
    1. Porter ME, Pabo EA, Lee TH. Redesigning primary care: a strategic vision to improve value by organizing around patients’ needs. Health Aff (Millwood). 2013;32:516-525. - PubMed
    1. Trento M, Passera P, Tomalino M, et al. Group visits improve metabolic control in type 2 diabetes: a 2-year follow-up. Diabetes Care. 2001;24:995-1000. - PubMed
    1. Davis AM, Sawyer DR, Vinci LM. The potential of group visits in diabetes care. Clin Diabetes. 2008;26:58-62.
    1. Jaber R, Braksmajer A, Trilling J. Group visits for chronic illness care: models, benefits, and challenges. Fam Pract Manag. 2006:13:37-40. - PubMed

Publication types

LinkOut - more resources