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Chapter 20 - Group Consultations and Community-Integrated Care

from Section 4 - Clinical Skills in Lifestyle Medicine

Published online by Cambridge University Press:  01 May 2025

Richard Pinder
Affiliation:
Imperial College of Science, Technology and Medicine, London
Christopher-James Harvey
Affiliation:
Imperial College of Science, Technology and Medicine, London
Ellen Fallows
Affiliation:
British Society of Lifestyle Medicine
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Summary

Group consultations are a form of community-integrated care that involve patients with similar health issues meeting with a clinician in a group setting. This approach enhances self-care and co-production, as patients learn from each other and participate in shared decision making. Group consultations have been shown to improve patient activation and evidence-based outcomes for long-term conditions such as diabetes and COPD, often at lower costs than individual consultations. Group consultations can be delivered in different ways, depending on the needs and preferences of the patients and the clinicians, including virtual sessions that allow for holistic care in the home environment. Case studies from various settings illustrate the effectiveness of group consultations in managing conditions like hypertension and diabetes. Group consultations are therefore a valuable method that combines the best of traditional care with the advantages of peer support and education, leading to better health outcomes in an efficient way.

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Publisher: Cambridge University Press
Print publication year: 2025

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References

Laverack, G., The challenge of behaviour change and health promotion. Challenges. 2017;8(2):25.CrossRefGoogle Scholar
Birrell, F., Collen, D. and Gray, M., Scaling group consultations – the fourth healthcare revolution: A call to action to save primary care. Lifestyle Med, 2023;4(3):e80.CrossRefGoogle Scholar
www.selfcareforum.org/ (Accessed 14 May 2023).Google Scholar
El-Osta, A., Webber, D., Gnani, S., et al., The self-care matrix: A unifying framework for self-care. Self-Care. 2019;10(3):3856.Google Scholar
Grassi, L., Mezzich, J., Nanni, M., et al., A person-centred approach in medicine to reduce the psychosocial and existential burden of chronic and life-threatening medical illness. Int Rev Psychiatry. 2017;29(5):377388.Google Scholar
Birrell, F., Johnson, A., Scott, L., Irvine, A. and Shah, R., Educational collaboration can empower patients, support doctors in training and future-proof medical education. Lifestyle Med. 2021;2:e49. https://doi.org/10.1002/lim2.49.CrossRefGoogle Scholar
Hibbart, J. and Gilbert, H., Supporting People to Manage Their Health: An Introduction to Patient Activation. London: The King’s Fund, 2014.Google Scholar
Jones, T., Darzi, A., Egger, G., et al. A systems approach to embedding group consultations in the NHS. Future Healthc J. 2019;6(1):19.Google ScholarPubMed
Cunningham, S. D., Sutherland, R. A., Yee, C. W., et al., Group medical care: A systematic review of health service performance. Int J Environ Res Public Health. 2 December 2021;18(23):12726.CrossRefGoogle ScholarPubMed
Catling, C. J., Medley, N., Foureur, M, et al., Group versus conventional antenatal care for women. Cochrane Database Syst Rev. 2015;2:CD007622.Google Scholar
Edelman, D., McDuffie, J., Oddone, E., et al., Shared Medical Appointments for Chronic Medical Conditions: A Systematic Review. 2012. VA-ESP Project #09-010, Washington, DC: Department of Veterans Affairs.Google ScholarPubMed
De Vries, B., Darling-Fisher, C., Thomas, A. and Belanger-Shugart, E., Implementation and outcomes of group medical appointments in an outpatient speciality care clinic. J Am Acad Nurse Pract. 2008;20:163169.Google Scholar
Parsa, P., Tabesh, R., Soltani, F., Karami, M. and Khorami, N., Effects of group counselling on self-care behaviours in menopausal women with diabetes. J Menopause Med. 2017;23:108116.CrossRefGoogle ScholarPubMed
Baqir, W., Gray, W. K., Blair, A., Haining, S. and Birrell, F., Osteoporosis group consultations are as effective as usual care: Results from a non-inferiority randomized trial. Lifestyle Med. 2020;1:e3.https://doi.org/10.1002/lim2.3.Google Scholar
Russell-Westhead, M., O’Brien, N., Goff, I., et al., Mixed methods study of a new model of care for chronic disease: Co-design and sustainable implementation of group consultations into clinical practice. Rheumatol Adv Pract. 28 January 2020;4(1):rkaa003. https://doi.org/10.1093/rap/rkaa003. PMID: 32211579; PMCID: PMC7079718.Google ScholarPubMed
Costello, A., The Social Edge. Bridlington, UK: Thornwick Ltd, 2018.Google Scholar
Pratt, J., The class method in the home treatment of tuberculosis and what it has accomplished. Boston Med Sure J. 1912;166:280288.CrossRefGoogle Scholar
https://escape-pain.org/ (Accessed 29 January 2024).Google Scholar
Unwin, D., Delon, C., Unwin, J., S. Tobin, R. Taylor, What predicts drug-free type 2 diabetes remission? Insights from an 8-year general practice service evaluation of a lower carbohydrate diet with weight loss. BMJ Nutr Prev Health 2023;6(1):4655. https://doi.org/10.1136/bmjnph-2022-000544.Google ScholarPubMed
Joseph, H. P., Pioneer. N Engl J Med. 1955;253:203204. https://doi.org/10.1056/NEJM195508042530510.Google Scholar
Tokuda, L., Lorenzo, L., Theriault, A., et al., The utilisation of video-conference shared medical appointments in rural diabetes care. Int J Med Inform. 2016;93:3441.CrossRefGoogle ScholarPubMed
Krish, S., Aron, D., Johnson, K., et al., A realist review of shared medical appointments: How, for whom, and under what circumstances do they work? BMC Health Serv Res. 2017;17:113.Google Scholar
Junling, G., Yang, L., Junming, D., Pinpin, Z. and Hua, F., Evaluation of group visits for chinese hypertensives based on primary health care center. Asia-Pac J Public Health. 2015;27(2):N350N360.CrossRefGoogle ScholarPubMed
Gibson, H., Huang, D., Hayhoe, B. W. J. and El-Osta, A., A virtual group consultation model of care for menopause treatment. NEJM Catalyst. 2022;(3):6.Google Scholar

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