TY - JOUR
T1 - Minimally disruptive medicine
T2 - A pragmatically comprehensive model for delivering care to patients with multiple chronic conditions
AU - Leppin, Aaron L.
AU - Montori, Victor M.
AU - Gionfriddo, Michael R.
N1 - Funding Information:
This publication was made possible by CTSA Grant Number TL1 TR000137 from the National Center for Advancing Translational Science (NCATS). The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of the NIH.
Publisher Copyright:
© 2015 by the authors; licensee MDPI, Basel, Switzerland.
PY - 2015/3
Y1 - 2015/3
N2 - An increasing proportion of healthcare resources in the United States are directed toward an expanding group of complex and multimorbid patients. Federal stakeholders have called for new models of care to meet the needs of these patients. Minimally Disruptive Medicine (MDM) is a theory-based, patient-centered, and context-sensitive approach to care that focuses on achieving patient goals for life and health while imposing the smallest possible treatment burden on patients’ lives. The MDM Care Model is designed to be pragmatically comprehensive, meaning that it aims to address any and all factors that impact the implementation and effectiveness of care for patients with multiple chronic conditions. It comprises core activities that map to an underlying and testable theoretical framework. This encourages refinement and future study. Here, we present the conceptual rationale for and a practical approach to minimally disruptive care for patients with multiple chronic conditions. We introduce some of the specific tools and strategies that can be used to identify the right care for these patients and to put it into practice.
AB - An increasing proportion of healthcare resources in the United States are directed toward an expanding group of complex and multimorbid patients. Federal stakeholders have called for new models of care to meet the needs of these patients. Minimally Disruptive Medicine (MDM) is a theory-based, patient-centered, and context-sensitive approach to care that focuses on achieving patient goals for life and health while imposing the smallest possible treatment burden on patients’ lives. The MDM Care Model is designed to be pragmatically comprehensive, meaning that it aims to address any and all factors that impact the implementation and effectiveness of care for patients with multiple chronic conditions. It comprises core activities that map to an underlying and testable theoretical framework. This encourages refinement and future study. Here, we present the conceptual rationale for and a practical approach to minimally disruptive care for patients with multiple chronic conditions. We introduce some of the specific tools and strategies that can be used to identify the right care for these patients and to put it into practice.
KW - Care delivery models
KW - Chronic disease
KW - Complexity
KW - Healthcare delivery
KW - Minimally disruptive medicine
KW - Multiple chronic conditions
UR - http://www.scopus.com/inward/record.url?scp=85115113746&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85115113746&partnerID=8YFLogxK
U2 - 10.3390/healthcare3010050
DO - 10.3390/healthcare3010050
M3 - Review article
AN - SCOPUS:85115113746
SN - 2227-9032
VL - 3
SP - 50
EP - 63
JO - Healthcare (Switzerland)
JF - Healthcare (Switzerland)
IS - 1
ER -