Is non-compliance a patient safety issue? Of course it is. And patients have been “fired” from their doctor’s practice for messing up their quality metrics. Does this add to patient safety?
Victor Montori has offered a solution called Minimally disruptive medicine. Dr Montori describes the complexity for patients in following all the evidence based guidelines we heap on them in order to meet safety quality metrics. According to Dr Montori, a patient with diabetes alone would have to spend more than 2 hours a day managing their disease if they followed all the guidelines from the ADA. And what if patients have more than one diagnosis? Dr Montori proposes that we are transferring healthcare complexity onto the patient and this is the root of what we term non-compliance.
Watch Dr Montori explain Minially Discruptive Medicine http://www.evidencelive.org/community/victor-montori-fit-and-the-translation-of-evidence-into-clinical-care/1132359
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