Minimally disruptive medicine: The evidence and conceptual progress supporting a new era of healthcare

Abd Moain Abu Dabrh, K. Gallacher, K. R. Boehmer, I. G. Hargraves, F. S. Mair

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Patients with chronic conditions or multimorbidity, and often their caregivers, have to adjust their lives and mobilise their capacity (ability) to respond to the workload (demands) imposed by treatments and the care of their conditions. There is a continuous and complex interaction between workload and capacity. When capacity proves insufficient to address the treatment workload, creating a burden, patients may place a lower priority on other aspects of their lives, or reduce engagement with healthcare. Guidelines usually focus on diseasecentred outcomes without consideration of limited capacity or demanding workload (burden) from treatment regimens. It seems reasonable to consider that healthcare needs reshaping so that care that pursues goals important to patients as well as those suggested by evidence-based medicine. This can be achieved by using shared decision approaches guided by the expertise of clinicians to deliver optimal care while minimising the burden of treatment on patients, their caregivers, and the healthcare system. What we need is minimally disruptive medicine.

Original languageEnglish (US)
Pages (from-to)114-117
Number of pages4
JournalJournal of the Royal College of Physicians of Edinburgh
Volume45
Issue number2
DOIs
StatePublished - Jan 1 2015

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workload
medicine
caregiver
evidence
expertise
ability
interaction

Keywords

  • Burden
  • Capacity
  • Chronic
  • MDM
  • Minimally disruptive medicine
  • Workload

ASJC Scopus subject areas

  • Education

Cite this

Minimally disruptive medicine : The evidence and conceptual progress supporting a new era of healthcare. / Abu Dabrh, Abd Moain; Gallacher, K.; Boehmer, K. R.; Hargraves, I. G.; Mair, F. S.

In: Journal of the Royal College of Physicians of Edinburgh, Vol. 45, No. 2, 01.01.2015, p. 114-117.

Research output: Contribution to journalArticle

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