A look again at minimally disruptive healthcare. In June 2013 we wrote about a contrarian approach to treating chronic disease–and now the ‘pre-diseases’ which have been discovered, like Columbus with America, with all good and proactive intentions for the patient. There’s increasing pressure, and rigidity in applying, guidelines and quality standards which are both performance and financially based. Measure, measure, measure!! Prescribe, prescribe, prescribe!! Is your patient at goal? Yet we are losing the Battle of Real Results and improved health. Telehealth and telemedicine are being touted as ways to increase compliance, but do they complicate matters and add to–not reduce–the burden?

We return to the originator of this minimally disruptive approach to care, Victor Montori MD, an endocrinologist at Mayo Clinic, via a MedCityNews article by cardiologist John Mandrola MD and this video from a primary care conference, the NAPCRG annual meeting in New York. (At 45 minutes, you’ll want to save it for later).

Key points:

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