The Group Visit Model—A Promising Option for Clinical Care Delivery in Patients with Chronic Migraine

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hronic headache is a highly prevalent medical problem that poses challenges to the patient and the healthcare provider.Patients experience debilitating pain, often accompanied by nausea, vomiting, photophobia, and other symptoms on a regular basis.The majority of patients lack access to specialized care and receive suboptimal treatment, especially in areas of low socioeconomic status.Due to the national shortage of neurologists, patients have difficulty locating providers and wait long periods of time for appointments.The medical group visit model is an innovative method for delivery of high-quality clinical care to patients with chronic conditions like headache.We developed a medical group visit model for patients with chronic headache at the Headache Program of the Cooper University Urban Health Institute in Camden, NJ, USA, a medically underserved city with a complex patient population.Key elements of the model include brief patient-doctor meetings, group discussions facilitated by medical staff or specialty-trained guest speakers, stress management education (such as meditation and yoga), as well as administration of nerve blocks and botulinum toxin (Botox) injections.Implementation of the model has produced personalized patient-doctor encounters, supportive peer-peer interaction, patient education, decreased appointment lag time, increased physician productivity and cost-effectiveness.

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