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Healthcare 2015, 3(1), 50-63; doi:10.3390/healthcare3010050

Minimally Disruptive Medicine: A Pragmatically Comprehensive Model for Delivering Care to Patients with Multiple Chronic Conditions

1
Knowledge and Evaluation Research Unit, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
2
Department of Health Sciences Research, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
3
Mayo Graduate School, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
*
Author to whom correspondence should be addressed.
Academic Editor: Hector P. Rodriguez
Received: 18 December 2014 / Accepted: 21 January 2015 / Published: 29 January 2015
(This article belongs to the Special Issue Innovations in Measuring and Improving Patient Care Experiences)
View Full-Text   |   Download PDF [477 KB, uploaded 30 January 2015]   |  

Abstract

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. View Full-Text
Keywords: minimally disruptive medicine; chronic disease; multiple chronic conditions; healthcare delivery; care delivery models; complexity minimally disruptive medicine; chronic disease; multiple chronic conditions; healthcare delivery; care delivery models; complexity
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Leppin, A.L.; Montori, V.M.; Gionfriddo, M.R. Minimally Disruptive Medicine: A Pragmatically Comprehensive Model for Delivering Care to Patients with Multiple Chronic Conditions. Healthcare 2015, 3, 50-63.

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