Evidence from the first Shared Medical Appointments (SMAs) randomised controlled trial in India: SMAs increase the satisfaction, knowledge, and medication compliance of patients with glaucoma

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Evidence from the first Shared Medical Appointments (SMAs) randomised controlled trial in India: SMAs increase the satisfaction, knowledge, and medication compliance of patients with glaucoma
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Are shared medical appointments the key to solving global healthcare shortages? PLOSGPH

=500), during four successive routine follow-up visits scheduled four months apart. Enrolment occurred over two years.A glaucoma specialist on our research team reviewed the medical records of incoming patients to identify those who were eligible for our study. Eligible patients had primary glaucoma with no other vision-threatening conditions and had undergone no more than one surgery in each eye.

Our intervention determined whether groups of patients whose appointments were scheduled proximally were seen separately or together . During their appointments, patients in the control arm experienced an eye examination, before receiving individualized recommendations from the doctor. Patients in the treatment arm entered the appointment room together and waited their turn to experience an eye examination, before receiving individualized recommendations from the doctor.

All data–including physician notes, demographic information on each patient: age, gender, urban or rural residence, and education level, as well as medical information: glaucoma type, and the existence of relevant comorbidities–were recorded in participating patients’ case report forms as described in the protocol provided in the supporting information (

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