Table 1.
Barriers and solutions to widespread implementation of group consultations
| Barrier 70 | Solution 70 | Positive group impact – patients 69,75 | Positive group impact – providers 69 , 75 |
|---|---|---|---|
| Reluctance to attend/share | Clinician & team encouragement | More time makes patients feel well-supported | Develops provider confidence |
| Inertia to novel paradigm | Leadership – patient & provider ‘champions’ | Combats isolationWitness others’ illness | Leadership development |
| Identifying suitable space | Tackling problems (eg imaginative use of existing/community spaces) | Inspired by others copingEquitable patient-clinician relationshipEnhances trust in clinician by observing patient interaction | Develops creative thinking |
| Scheduling | Motivation and systems thinking | Greater and more tailored choice | Better team-working & efficiency |
| Staffing | Buy-in: climate & communication | Patients experience more joined-up care | Clinicians learn to meet patients’ needs better |
| Facing challenges | Anticipating changes | Patients perceive attention to removing of obstacles in care | Clinician & peer education robustly transfers knowledge |