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Models for shared medical appointments During the early 1990s, we had three models: Diagnosis-specific group visits (Masley) Pick a diagnosis and invite those patients (e.g., tobacco abuse) Cooperative clinics (Scott, Internist, Kaiser) Invite a group with different diagnoses to get their care together (frail elderly) DIGMAS: Drop-in Group Medical Appointments (Noffsinger, Psychologist, Kaiser & Private) A system to help with access Now, many models exist Provider and Behaviorist Models In the high-risk cohort model, Ive done visits with myself and a few medical assistants In the Cooperative Clinic and DIGMA models, you always invite a behaviorist to moderate the group Residents do well with a behaviorist present You dont require a behaviorist

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