Primary Care Shared Medical Appointment for Pain Management: A Pilot Program

Determinants of implementation for group medical visits for patients with chronic pain: a systematic review

“… During the study period, is the intervention administered (or exposure occurred) as intended? Clare et al 2019 [ 39 ] Yes Yes Yes Yes No No Yes 60 Geller et al 2015 [ 48 ] Yes Yes Not Assessable Yes No No Yes 40 Harpole et al 2003 [ 49 ] Yes Yes Not Assessable Yes No Not Assessable Yes 40 Haun et al 2020 [ 50 ] Yes Yes No Yes No Yes Yes 60 Mehl-Madrona et al 2016 [ 51 ] Yes Yes Yes Yes No Not Assessable Yes 60 Meriwether, Vellenga, Ravichandran, et al 2022 [ 53 ] Yes Yes Yes Yes No Yes No 60 Taube et al 2021 [ 64 ] …”

“…Thirteen studies described the relative advantage of providing GMVs compared to other forms of chronic pain care [ 40 , 44 , 51 , 53 , 56 , 57 , 60 , 61 , 63 , 64 , 66 , 68 , 69 ]. Eight studies present survey data, interview data, or ethnographic observations in the “ Results ” section and five studies discussed relative advantages in the “ Discussion ” section.…”

“…Several studies reported on measures related to cost, including emergency room utilization [ 45 , 49 , 64 ], healthcare utilization [ 39 , 54 , 55 ], and wait times for appointments [ 62 ], all noting that GMVs reduced high-cost healthcare use and improved access to appointments.…”

“…Both studies describe challenges with enrolling or retaining patients in GMVs whose expectations around receiving opioid treatment did not match the policies of the clinic. Two studies briefly mentioned the COVID-19 pandemic, noting that both planning activities and GMVs could be conducted via telehealth due to the pandemic [ 58 , 64 ].…”

“…Ten studies reported on how group medical visits improved the innovation recipient’s quality of life, including improvements in self-efficacy, satisfaction, function, and improvements in physical and mental health [ 38 , 42 , 49 , 50 , 57 , 61 , 64 , 65 , 68 , 70 ]. These improvements in well-being and personal fulfillment were attributed to the benefits of the innovation.…”