Valentina Serrano1,2, Gabriela Spencer-Bonilla1,3,4, Kasey R Boehmer1, Victor M Montori5. 1. Knowledge and Evaluation Research Unit, Division of Endocrinology, Diabetes, Metabolism and Nutrition, Department of Medicine, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55905, USA. 2. Department of Nutrition, Diabetes and Metabolism, Escuela de Medicina Pontificia Universidad Católica de Chile, Alameda Libertador Bernardo O'Higgins 340, Santiago, Chile. 3. Mayo Graduate School, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55905, USA. 4. School of Medicine, University of Puerto Rico Medical Sciences Campus, PO Box 365067, San Juan, PR, 00936, USA. 5. Knowledge and Evaluation Research Unit, Division of Endocrinology, Diabetes, Metabolism and Nutrition, Department of Medicine, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55905, USA. Montori.Victor@mayo.edu.
Abstract
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. RECENT FINDINGS: 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.
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. RECENT FINDINGS: 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.
Entities:
Keywords:
Burden of treatment; Diabetes; Minimally disruptive medicine; Patient capacity; Patient-centered care
Authors: David T Eton; Kathleen J Yost; Jin-Shei Lai; Jennifer L Ridgeway; Jason S Egginton; Jordan K Rosedahl; Mark Linzer; Deborah H Boehm; Azra Thakur; Sara Poplau; Laura Odell; Victor M Montori; Carl R May; Roger T Anderson Journal: Qual Life Res Date: 2016-08-26 Impact factor: 4.147
Authors: A Nicolucci; A Maione; M Franciosi; R Amoretti; E Busetto; F Capani; D Bruttomesso; P Di Bartolo; A Girelli; F Leonetti; L Morviducci; P Ponzi; E Vitacolonna Journal: Diabet Med Date: 2008-01-14 Impact factor: 4.359
Authors: Gerardo González-Saldivar; Juan Manuel Millan-Alanis; José Gerardo González-González; Raymundo A Sánchez-Gómez; Javier Obeso-Fernández; Rozalina G McCoy; Spyridoula Maraka; Juan P Brito; Naykky Singh Ospina; Stephie Oyervides-Fuentes; René Rodríguez-Gutiérrez Journal: Prim Care Diabetes Date: 2022-04-21 Impact factor: 2.567
Authors: Katherine A Auger; Samir S Shah; Bin Huang; Patrick W Brady; Steven H Weinberg; Elyse Reamer; Kevin S Tanager; Katelin Zahn; Matthew M Davis Journal: J Hosp Med Date: 2019-08 Impact factor: 2.960
Authors: Pilar Espinoza; Camila A Varela; Ivonne E Vargas; Galo Ortega; Paulo A Silva; Kasey B Boehmer; Victor M Montori Journal: PLoS One Date: 2020-10-30 Impact factor: 3.752