Minimally Disruptive Medicine for Patients with Diabetes
Purpose of review
Patients with diabetes must deal with the burden of symptoms and complications (burden of illness). Simultaneously, diabetes care demands practical and emotional work from patients and their families, work to access and use healthcare and to enact self-care (burden of treatment). Patient work must compete with the demands of family, job, and community life. Overwhelmed patients may not have the capacity to access care or enact self-care and will thus experience suboptimal diabetes outcomes.
Minimally disruptive medicine (MDM) is a patient-centered approach to healthcare that prioritizes patients’ goals for life and health while minimizing the healthcare disruption on patients’ lives.
In patients with diabetes, particularly in those with complex lives and multimorbidity, MDM coordinates healthcare and community responses to improve outcomes, reduce treatment burden, and enable patients to pursue their life’s hopes and dreams.
KeywordsMinimally disruptive medicine Patient-centered care Burden of treatment Patient capacity Diabetes
We would like to thank Ian Hargraves for his collaboration with the figure of this manuscript. The authors are part of the International Minimally Disruptive Medicine Research Group (http://minimallydisruptivemedicine.org).
VS and VMM served as overall principal investigators, conducted the literature review, and wrote and reviewed the manuscript. GSB and KB helped with the literature reviewed, revised the manuscript, and assisted with adaptations. All authors read and approved the final manuscript. VMM is the guarantor of this work.
Compliance with Ethical Standards
Conflict of Interest
Valentina Serrano, Gabriela Spencer-Bonilla, Kasey R. Boehmer, and Victor M. Montori declare that they have no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
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