Back to Search
Start Over
A Description of Patient and Provider Experience and Clinical Outcomes After Heart Failure Shared Medical Appointment
- Source :
- Journal of Patient Experience, Vol 4 (2017)
- Publication Year :
- 2017
- Publisher :
- SAGE Publishing, 2017.
-
Abstract
- Background: Shared medical appointments (SMAs) are clinical visits in which several patients meet with 1 or more providers at the same time. Objective: To describe the outcomes of an interdisciplinary SMA for veterans recently discharged for heart failure (HF). Methods: A retrospective chart review for patients’ readmission rates, survival, medication adherence, and medication-related problems. For qualitative outcomes, we performed semistructured interviews on 12 patients who had undergone HF SMAs and their respective caregivers focusing on care satisfaction, HF knowledge, disease self-care, medication reconciliation, and peer support. Results: The cohort comprised 70 patients—49% had left ventricular function 10 medications. Medication-related problems occurred in 60% of patients. Interviews revealed overall satisfaction with HF-SMA, but patients felt overwhelmed with HF instructions, perceived lack of peer support and self-efficacy, and feelings of hopelessness related to HF. Conclusion: Shared medical appointments are well-perceived. Medication problems and need for medication management are prevalent along with patient’s lack of self-efficacy in HF care. Multiple HF-SMA visits may be needed to reinforce concepts, reduce confusion, and garner peer support.
- Subjects :
- Medicine (General)
R5-920
Subjects
Details
- Language :
- English
- ISSN :
- 23743743 and 23743735
- Volume :
- 4
- Database :
- Directory of Open Access Journals
- Journal :
- Journal of Patient Experience
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.0b462bade8724cdb98bcefdd2e5afba7
- Document Type :
- article
- Full Text :
- https://doi.org/10.1177/2374373517714452