Attaining minimally disruptive medicine: Context, challenges and a roadmap for implementation

N. D. Shippee, S. V. Allen, A. L. Leppin, C. R. May, V. M. Montori

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


In this second of two papers on minimally disruptive medicine, we use the language of patient workload and patient capacity from the Cumulative Complexity Model to accomplish three tasks. First, we outline the current context in healthcare, comprised of contrasting problems: some people lack access to care and others receive too much care in an overmedicalised system, both of which reflect imbalances between patients’ workloads and their capacity. Second, we identify and address five tensions and challenges between minimally disruptive medicine, the existing context, and other approaches to accessible and patientcentred care such as evidence-based medicine and greater patient engagement. Third, we outline a roadmap of three strategies toward implementing minimally disruptive medicine in practice, including large-scale paradigm shifts, mid-level addons to existing reform efforts, and a modular strategy using an existing ‘toolkit’ that is more limited in scope, but can fit into existing healthcare systems.

Original languageEnglish (US)
Pages (from-to)118-122
Number of pages5
JournalJournal of the Royal College of Physicians of Edinburgh
Issue number2
StatePublished - 2015


  • Cumulative complexity model
  • Evidence-based medicine
  • Minimally disruptive medicine
  • Multimorbidity
  • Overmedicalisation
  • Patient engagement

ASJC Scopus subject areas

  • Education


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