Attaining minimally disruptive medicine: context, challenges and a roadmap for implementation.
J R Coll Physicians Edinb
; 45(2): 118-22, 2015.
Article
en En
| MEDLINE
| ID: mdl-26181526
ABSTRACT
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 patient-centred 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 add-ons 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.
Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Carga de Trabajo
/
Atención Dirigida al Paciente
/
Manejo de la Enfermedad
/
Atención a la Salud
Límite:
Humans
Idioma:
En
Revista:
J R Coll Physicians Edinb
Asunto de la revista:
EDUCACAO
/
HISTORIA DA MEDICINA
/
MEDICINA
Año:
2015
Tipo del documento:
Article