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- W2114833682 abstract "The transition of pediatric patients into the adult world is a major medical issue and a high-risk time period (1–4). In patients with type 1 diabetes, glycemic control is at its worst during adolescence and emerging adulthood (5,6). The goal of this study was to investigate the feasibility and acceptability of a novel clinical care approach to the type 1 diabetes transition population that would require no additional resources or staff, would be applicable in all clinical settings, could be sustainable outside of a grant setting, and would not require additional time or appointments for patients and families.Alternative medical care approaches, specifically shared medical appointments (SMAs), have successfully increased patient and provider satisfaction, maximized billing, and improved outcomes in other challenging patient populations. The SMA model has been used in adults with chronic medical conditions (including diabetes), women receiving prenatal care, patients requiring urgent care visits, and patients needing routine health care maintenance (7–10). Although not reflected strongly in the literature, the SMA model has also been successful in the pediatric population.In the literature, SMA models have resulted in improved patient outcomes, increased satisfaction of providers and patients, and improved billing and efficiency. Group scheduling has allowed for more comprehensive visits, with increased screening rates and more frequent educational interventions (e.g., from dietitians, nursing staff, and mental health providers). The SMA model has also been found to be more efficient for medical providers, allowing them to see more patients in the same time period (10).Based on the success of SMAs in other chronic medical conditions, the Team Clinic SMA clinic was developed for adolescent patients receiving care at a large pediatric diabetes center. A multidisciplinary team of providers caring for patients in the diabetes center, including social workers, dietitians, certified …" @default.
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- W2114833682 date "2015-02-01" @default.
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- W2114833682 title "A Novel Approach to Adolescents With Type 1 Diabetes: The Team Clinic Model" @default.
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- W2114833682 doi "https://doi.org/10.2337/diaspect.28.1.68" @default.
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