Shared medical appointments (SMAs) for diabetes and group prenatal care (GPC) for pregnant patients, have emerged as innovative care delivery models. They have the potential to transform diabetes care by overcoming many of the time limitations of traditional one-on-one clinical visits. There is compelling evidence that SMAs improve glycemic control for non-pregnant patients with diabetes, GPC reduces Black/White health disparities in preterm birth, and Diabetes Group Prenatal Care increase postpartum glucose tolerance test uptake among patients with gestational diabetes mellitus. GPC models standout as one of few interventions that reduce racial health disparities, which we hypothesize occurs because they inadvertently exert their effect on both the patient and clinician through a 20+ hour meaningful shared experience. This Perspective explores the evidence for SMA and GPC in diabetes and pregnancy, theoretical underpinnings of the models, their potential to promote more equitable care, and future directions from my Perspective, as a high-risk obstetrician and 2019 ADA Pathway Accelerator award recipient.

中文翻译：

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创新妊娠期糖尿病护理：团体护理模式是否能改善结果和公平性？


糖尿病的共享医疗预约 （SMA） 和孕妇的集体产前护理 （GPC） 已成为创新的护理提供模式。他们有可能通过克服传统一对一临床就诊的许多时间限制来改变糖尿病护理。有令人信服的证据表明，SMA 可改善非妊娠糖尿病患者的血糖控制，GPC 可减少早产中的黑人/白人健康差异，糖尿病组产前护理可增加妊娠糖尿病患者的产后葡萄糖耐量试验的接受率。GPC 模型是少数减少种族健康差异的干预措施之一，我们假设发生这种情况是因为它们通过 20+ 小时有意义的共享体验无意中对患者和临床医生产生了影响。这个观点从我的角度探讨了糖尿病和怀孕中 SMA 和 GPC 的证据、模型的理论基础、它们促进更公平护理的潜力，以及我作为高危产科医生和 2019 年 ADA 途径加速器奖获得者的未来方向。