We need minimally disruptive medicine
The burden of treatment for many people with complex, chronic, comorbidities reduces their capacity to collaborate in their care. Carl May, Victor Montori, and Frances Mair argue that to be effective, care must be less disruptive
Gespeichert in:
Veröffentlicht in: | BMJ 2009-08, Vol.339 (7719), p.485-487 |
---|---|
Hauptverfasser: | , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 487 |
---|---|
container_issue | 7719 |
container_start_page | 485 |
container_title | BMJ |
container_volume | 339 |
creator | May, Carl Montori, Victor M Mair, Frances S |
description | The burden of treatment for many people with complex, chronic, comorbidities reduces their capacity to collaborate in their care. Carl May, Victor Montori, and Frances Mair argue that to be effective, care must be less disruptive |
doi_str_mv | 10.1136/bmj.b2803 |
format | Article |
fullrecord | <record><control><sourceid>jstor_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_67582319</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><jstor_id>25672492</jstor_id><sourcerecordid>25672492</sourcerecordid><originalsourceid>FETCH-LOGICAL-b458t-4bdce808ee407d87ead084abf17c675889f7ae0a38d52377ec032bda1f978ffa3</originalsourceid><addsrcrecordid>eNqFkVtL5TAUhYM46EF98AcoB28wD9WdpGmSRz1eZkBmFLw8hrTdhR57OSat6L-f1B4UBJmn_bA-1l57bUK2KRxTypOTtJ4fp0wBXyETGicqEorzVTIBLXSkKFfrZMv7OQAwLpVOxBpZpzqRVHM2IYePOG0Q82ldNmVtq-ptmpfe9YuufMFpjXmZlQ1ukh-FrTxuLecGub-8uJv9iq7_Xv2enV5HaSxUF8VpnqEChRiDzJVEm4OKbVpQmSVSKKULaREsV7kIYSRmwFmaW1poqYrC8g1yNPouXPvco-9MXfoMq8o22PbeDCaMh-T_A4Xk4VyQAdz7As7b3jXhCMMgBi5ZwgK0_x1EpVRAYwbDzp8jlbnWe4eFWbhQmXszFMzwChNeYd5fEdjdpWOfhhI_yWXxAdgZgbnvWvehM5FIFutBj0a99B2-fujWPYUSuBTmz8PM6LPb8-Ts6sYMCw9Gfsjwfa5_ydKlkA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1778014209</pqid></control><display><type>article</type><title>We need minimally disruptive medicine</title><source>MEDLINE</source><source>BMJ Journals - NESLi2</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Jstor Complete Legacy</source><creator>May, Carl ; Montori, Victor M ; Mair, Frances S</creator><creatorcontrib>May, Carl ; Montori, Victor M ; Mair, Frances S</creatorcontrib><description>The burden of treatment for many people with complex, chronic, comorbidities reduces their capacity to collaborate in their care. Carl May, Victor Montori, and Frances Mair argue that to be effective, care must be less disruptive</description><edition>International edition</edition><identifier>ISSN: 0959-8138</identifier><identifier>ISSN: 0959-8146</identifier><identifier>ISSN: 0959-535X</identifier><identifier>EISSN: 1468-5833</identifier><identifier>EISSN: 1756-1833</identifier><identifier>DOI: 10.1136/bmj.b2803</identifier><identifier>PMID: 19671932</identifier><identifier>CODEN: BMJOAE</identifier><language>eng</language><publisher>England: British Medical Journal Publishing Group</publisher><subject>ANALYSIS ; Behavior ; Burden ; Cardiovascular disease ; Caregivers ; Chronic Disease - therapy ; Chronic diseases ; Chronic illnesses ; Clinical medicine ; Clinical outcomes ; Clinics ; Comorbidity ; Cost of Illness ; Diabetes ; Diseases ; Drug dosages ; Epidemics ; Health care industry ; Health outcomes ; Health services ; Heart failure ; Humans ; Medical treatment ; Medicine ; Patient Participation ; Physician-Patient Relations ; Practice management ; Primary health care ; Quality of care ; Quality of life ; Treatment Refusal ; Type 2 diabetes mellitus ; Workload</subject><ispartof>BMJ, 2009-08, Vol.339 (7719), p.485-487</ispartof><rights>BMJ Publishing Group Ltd 2009</rights><rights>2009 BMJ Publishing Group Ltd</rights><rights>Copyright BMJ Publishing Group LTD Aug 11, 2009</rights><rights>Copyright BMJ Publishing Group Aug 29, 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b458t-4bdce808ee407d87ead084abf17c675889f7ae0a38d52377ec032bda1f978ffa3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://bmj.com/content/339/bmj.b2803.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://bmj.com/content/339/bmj.b2803.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,777,781,800,3183,23552,27905,27906,30980,30981,57998,58231,77349,77380</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19671932$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>May, Carl</creatorcontrib><creatorcontrib>Montori, Victor M</creatorcontrib><creatorcontrib>Mair, Frances S</creatorcontrib><title>We need minimally disruptive medicine</title><title>BMJ</title><addtitle>BMJ</addtitle><description>The burden of treatment for many people with complex, chronic, comorbidities reduces their capacity to collaborate in their care. Carl May, Victor Montori, and Frances Mair argue that to be effective, care must be less disruptive</description><subject>ANALYSIS</subject><subject>Behavior</subject><subject>Burden</subject><subject>Cardiovascular disease</subject><subject>Caregivers</subject><subject>Chronic Disease - therapy</subject><subject>Chronic diseases</subject><subject>Chronic illnesses</subject><subject>Clinical medicine</subject><subject>Clinical outcomes</subject><subject>Clinics</subject><subject>Comorbidity</subject><subject>Cost of Illness</subject><subject>Diabetes</subject><subject>Diseases</subject><subject>Drug dosages</subject><subject>Epidemics</subject><subject>Health care industry</subject><subject>Health outcomes</subject><subject>Health services</subject><subject>Heart failure</subject><subject>Humans</subject><subject>Medical treatment</subject><subject>Medicine</subject><subject>Patient Participation</subject><subject>Physician-Patient Relations</subject><subject>Practice management</subject><subject>Primary health care</subject><subject>Quality of care</subject><subject>Quality of life</subject><subject>Treatment Refusal</subject><subject>Type 2 diabetes mellitus</subject><subject>Workload</subject><issn>0959-8138</issn><issn>0959-8146</issn><issn>0959-535X</issn><issn>1468-5833</issn><issn>1756-1833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkVtL5TAUhYM46EF98AcoB28wD9WdpGmSRz1eZkBmFLw8hrTdhR57OSat6L-f1B4UBJmn_bA-1l57bUK2KRxTypOTtJ4fp0wBXyETGicqEorzVTIBLXSkKFfrZMv7OQAwLpVOxBpZpzqRVHM2IYePOG0Q82ldNmVtq-ptmpfe9YuufMFpjXmZlQ1ukh-FrTxuLecGub-8uJv9iq7_Xv2enV5HaSxUF8VpnqEChRiDzJVEm4OKbVpQmSVSKKULaREsV7kIYSRmwFmaW1poqYrC8g1yNPouXPvco-9MXfoMq8o22PbeDCaMh-T_A4Xk4VyQAdz7As7b3jXhCMMgBi5ZwgK0_x1EpVRAYwbDzp8jlbnWe4eFWbhQmXszFMzwChNeYd5fEdjdpWOfhhI_yWXxAdgZgbnvWvehM5FIFutBj0a99B2-fujWPYUSuBTmz8PM6LPb8-Ts6sYMCw9Gfsjwfa5_ydKlkA</recordid><startdate>20090829</startdate><enddate>20090829</enddate><creator>May, Carl</creator><creator>Montori, Victor M</creator><creator>Mair, Frances S</creator><general>British Medical Journal Publishing Group</general><general>British Medical Association</general><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88I</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>20090829</creationdate><title>We need minimally disruptive medicine</title><author>May, Carl ; Montori, Victor M ; Mair, Frances S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b458t-4bdce808ee407d87ead084abf17c675889f7ae0a38d52377ec032bda1f978ffa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>ANALYSIS</topic><topic>Behavior</topic><topic>Burden</topic><topic>Cardiovascular disease</topic><topic>Caregivers</topic><topic>Chronic Disease - therapy</topic><topic>Chronic diseases</topic><topic>Chronic illnesses</topic><topic>Clinical medicine</topic><topic>Clinical outcomes</topic><topic>Clinics</topic><topic>Comorbidity</topic><topic>Cost of Illness</topic><topic>Diabetes</topic><topic>Diseases</topic><topic>Drug dosages</topic><topic>Epidemics</topic><topic>Health care industry</topic><topic>Health outcomes</topic><topic>Health services</topic><topic>Heart failure</topic><topic>Humans</topic><topic>Medical treatment</topic><topic>Medicine</topic><topic>Patient Participation</topic><topic>Physician-Patient Relations</topic><topic>Practice management</topic><topic>Primary health care</topic><topic>Quality of care</topic><topic>Quality of life</topic><topic>Treatment Refusal</topic><topic>Type 2 diabetes mellitus</topic><topic>Workload</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>May, Carl</creatorcontrib><creatorcontrib>Montori, Victor M</creatorcontrib><creatorcontrib>Mair, Frances S</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>BMJ</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>May, Carl</au><au>Montori, Victor M</au><au>Mair, Frances S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>We need minimally disruptive medicine</atitle><jtitle>BMJ</jtitle><addtitle>BMJ</addtitle><date>2009-08-29</date><risdate>2009</risdate><volume>339</volume><issue>7719</issue><spage>485</spage><epage>487</epage><pages>485-487</pages><issn>0959-8138</issn><issn>0959-8146</issn><issn>0959-535X</issn><eissn>1468-5833</eissn><eissn>1756-1833</eissn><coden>BMJOAE</coden><abstract>The burden of treatment for many people with complex, chronic, comorbidities reduces their capacity to collaborate in their care. Carl May, Victor Montori, and Frances Mair argue that to be effective, care must be less disruptive</abstract><cop>England</cop><pub>British Medical Journal Publishing Group</pub><pmid>19671932</pmid><doi>10.1136/bmj.b2803</doi><tpages>3</tpages><edition>International edition</edition></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0959-8138 |
ispartof | BMJ, 2009-08, Vol.339 (7719), p.485-487 |
issn | 0959-8138 0959-8146 0959-535X 1468-5833 1756-1833 |
language | eng |
recordid | cdi_proquest_miscellaneous_67582319 |
source | MEDLINE; BMJ Journals - NESLi2; Applied Social Sciences Index & Abstracts (ASSIA); Jstor Complete Legacy |
subjects | ANALYSIS Behavior Burden Cardiovascular disease Caregivers Chronic Disease - therapy Chronic diseases Chronic illnesses Clinical medicine Clinical outcomes Clinics Comorbidity Cost of Illness Diabetes Diseases Drug dosages Epidemics Health care industry Health outcomes Health services Heart failure Humans Medical treatment Medicine Patient Participation Physician-Patient Relations Practice management Primary health care Quality of care Quality of life Treatment Refusal Type 2 diabetes mellitus Workload |
title | We need minimally disruptive medicine |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-21T07%3A45%3A54IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-jstor_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=We%20need%20minimally%20disruptive%20medicine&rft.jtitle=BMJ&rft.au=May,%20Carl&rft.date=2009-08-29&rft.volume=339&rft.issue=7719&rft.spage=485&rft.epage=487&rft.pages=485-487&rft.issn=0959-8138&rft.eissn=1468-5833&rft.coden=BMJOAE&rft_id=info:doi/10.1136/bmj.b2803&rft_dat=%3Cjstor_proqu%3E25672492%3C/jstor_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1778014209&rft_id=info:pmid/19671932&rft_jstor_id=25672492&rfr_iscdi=true |