Assessing the Burden of Treatment
Assessing the Burden of Treatment
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DOI：
10.1007/s11606-017-4117-8
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发表时间：
2017-10-01
影响因子：
5.7
通讯作者：
Montori, Victor M.
中科院分区：
文献类型：
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作者：
Spencer-Bonilla, Gabriela;Quinones, Ana R.;Montori, Victor M.
目前的医疗保健系统和指南的设计并不适合照顾大量和越来越多的病人复杂的护理需求和那些与多morphine。最小破坏性医学（MDM）是一种为复杂患者提供护理的方法，可在最大限度地减少治疗负担的同时，促进患者的健康和生活目标。治疗负担的测量评估医疗工作量对患者功能和健康的影响。其中至少有两项措施现在可用于慢性病患者。在这里，我们描述了这些措施，以及它们如何对临床医生，研究人员，管理人员和政策制定者有用。他们使用创新的以患者为中心的模型（如MDM）来改善高成本、高使用率、复杂患者的护理工作，应该得到定期大规模治疗负担评估的支持。
Current healthcare systems and guidelines are not designed to adapt to care for the large and growing number of patients with complex care needs and those with multimorbidity. Minimally disruptive medicine (MDM) is an approach to providing care for complex patients that advances patients' goals in health and life while minimizing the burden of treatment. Measures of treatment burden assess the impact of healthcare workload on patient function and well-being. At least two of these measures are now available for use with patients living with chronic conditions. Here, we describe these measures and how they can be useful for clinicians, researchers, managers, and policymakers. Their work to improve the care of high-cost, high-use, complex patients using innovative patient-centered models such as MDM should be supported by periodic large-scale assessments of treatment burden.