Assessing the Burden of Treatment
Open accessAbstract
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.
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Modifying management with the objective of reducing the burden of treatment has the potential to improve outcomes.
“Modifying management with the objective of reducing the burden of treatment has the potential to improve outcomes (Spencer-Bonilla et al., 2017).”
From When more is not better: 10 ‘don’ts’ in endometriosis management. An ETIC* position statement (2019) · cites this paper as Spencer-Bonilla et al., 2017
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- Authors
- Workgroup, O. B. O. T. I. M. D. M., Spencer-Bonilla, G., Quiñones, A. R., & Montori, V. M.
- Affiliations
- Mayo Clinic (US)
- ORCID
- Quiñones, Ana R.
- Venue
- Journal of General Internal Medicine
- Published
- 2017-07-11
- Volume
- 32
- Issue
- 10
- Pages
- 1141-1145
- ISSN
- 0884-8734 (ISSN-L)
- 1525-1497
- PMC
- PMC5602768
- OpenAlex
- W2735856415
- Cited by
- 168
- References
- 4
- Citations by year
- 2026: 12 · 2025: 12 · 2024: 17 · 2023: 17 · 2022: 22 · 2021: 55 · 2020: 11 · 2019: 12 · 2018: 7 · 2017: 3
- FWCI
- 1.20
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of General Internal Medicine (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (KL2TR000136)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
- Health Sciences › Health Professions › General Health Professions › Healthcare cost, quality, practices
- Keywords
- treatment burden, multimorbidity, complex care needs, patient-centered care, chronic disease, healthcare workload, patient well-being
- MeSH terms
- Humans, Treatment Outcome, Cost of Illness, Patient-Centered Care
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