Minimally disruptive medicine
Encyclopedia
Minimally Disruptive Medicinehttp://www.bmj.com/cgi/content/full/bmj.b2803?ijkey=GrnqZhD5tbhn2VA&keytype=ref is an approach to patient care in chronic illness proposed by Carl R May, Victor Montori
, and Frances Mair. In a 2009 article in the British Medical Journal
they argued that the burden of illness (the pathophysiological and psychosocial impact of disease on the sufferer) has its counterpart in the burden of treatment (the workload delegated to the patient by health professionals, which may include self care and self-monitoring, managing therapeutic regimens, organizing doctors’ visits, tests, and insurance). As medical responses to illness have become more sophisticated, the burden of treatment has grown, and includes increasingly complex techniques and health technologies (such as telecare) that must be routinely incorporated in everyday life by their users. Minimally Disruptive Medicine is an approach to designing patient care that seeks to consider the effects of treatment work, and in particular to prevent overburdening patientshttp://www.youtube.com/watch?v=tixfqXq2zVg. Overburdening leads, May. Montori and Mair argued, to structurally induced non-compliance with treatment, in which it becomes progressively more difficult for patients – especially older patients with multiple co-morbidities – to meet the demands that therapeutic regimens place upon them. Minimally Disruptive Medicine has a theoretical basis in Normalization Process Theory
http://www.implementationscience.com/content/4/1/29, which explains the processes by which treatment regimens and other ensembles of cognitive, behavioural and technical practices are routinely incorporated in everyday life.
Victor Montori
Victor M. Montori, , is Professor of Medicine at the Mayo Clinic in Rochester, Minnesota, USA. Montori was born and raised in Peru. He completed medical school at Universidad Peruana Cayetano Heredia in Peru, before joining the Internal Medicine Residency Program at the Mayo Clinic, where he was...
, and Frances Mair. In a 2009 article in the British Medical Journal
British Medical Journal
BMJ is a partially open-access peer-reviewed medical journal. Originally called the British Medical Journal, the title was officially shortened to BMJ in 1988. The journal is published by the BMJ Group, a wholly owned subsidiary of the British Medical Association...
they argued that the burden of illness (the pathophysiological and psychosocial impact of disease on the sufferer) has its counterpart in the burden of treatment (the workload delegated to the patient by health professionals, which may include self care and self-monitoring, managing therapeutic regimens, organizing doctors’ visits, tests, and insurance). As medical responses to illness have become more sophisticated, the burden of treatment has grown, and includes increasingly complex techniques and health technologies (such as telecare) that must be routinely incorporated in everyday life by their users. Minimally Disruptive Medicine is an approach to designing patient care that seeks to consider the effects of treatment work, and in particular to prevent overburdening patientshttp://www.youtube.com/watch?v=tixfqXq2zVg. Overburdening leads, May. Montori and Mair argued, to structurally induced non-compliance with treatment, in which it becomes progressively more difficult for patients – especially older patients with multiple co-morbidities – to meet the demands that therapeutic regimens place upon them. Minimally Disruptive Medicine has a theoretical basis in Normalization Process Theory
Normalization Process Theory
Normalization process theory is a sociological theory of the implementation, embedding, and integration of new technologies and organizational innovations developed by Carl R. May, Tracey Finch, and others...
http://www.implementationscience.com/content/4/1/29, which explains the processes by which treatment regimens and other ensembles of cognitive, behavioural and technical practices are routinely incorporated in everyday life.