TY - JOUR
T1 - Crafting care that fits
T2 - Workload and capacity assessments complementing decision aids in implementing shared decision making
AU - Wieringa, Thomas H.
AU - Sanchez-Herrera, Manuel F.
AU - Espinoza, Nataly R.
AU - Tran, Viet Thi
AU - Boehmer, Kasey
N1 - Publisher Copyright:
© Thomas H Wieringa, Manuel F Sanchez-Herrera, Nataly R Espinoza, Viet-Thi Tran, Kasey Boehmer.
PY - 2020/1
Y1 - 2020/1
N2 - About 42% of adults have one or more chronic conditions and 23% have multiple chronic conditions. The coordination and integration of services for the management of patients living with multimorbidity is important for care to be efficient, safe, and less burdensome. Minimally disruptive medicine may optimize this coordination and integration. It is a patient-centered approach to care that focuses on achieving patient goals for life and health by seeking care strategies that fit a patient’s context and are minimally disruptive and maximally supportive. The cumulative complexity model practically orients minimally disruptive medicine–based care. In this model, the patient workload-capacity imbalance is the central mechanism driving patient complexity. These elements should be accounted for when making decisions for patients with chronic conditions. Therefore, in addition to decision aids, which may guide shared decision making, we propose to discuss and clarify a potential workload-capacity imbalance.
AB - About 42% of adults have one or more chronic conditions and 23% have multiple chronic conditions. The coordination and integration of services for the management of patients living with multimorbidity is important for care to be efficient, safe, and less burdensome. Minimally disruptive medicine may optimize this coordination and integration. It is a patient-centered approach to care that focuses on achieving patient goals for life and health by seeking care strategies that fit a patient’s context and are minimally disruptive and maximally supportive. The cumulative complexity model practically orients minimally disruptive medicine–based care. In this model, the patient workload-capacity imbalance is the central mechanism driving patient complexity. These elements should be accounted for when making decisions for patients with chronic conditions. Therefore, in addition to decision aids, which may guide shared decision making, we propose to discuss and clarify a potential workload-capacity imbalance.
KW - Decision making
KW - Decision support techniques
KW - Patient-centered care
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U2 - 10.2196/13763
DO - 10.2196/13763
M3 - Article
AN - SCOPUS:85097769257
SN - 2152-7202
VL - 12
JO - Journal of Participatory Medicine
JF - Journal of Participatory Medicine
IS - 1
M1 - e13763
ER -