Toma de decisiones compartidas y medicina mínimamente impertinente en el manejo de las enfermedades crónicas

Claudia Zeballos-Palacios; Oscar L. Morey-Vargas; Juan P. Brito; Víctor M. Montori

doi:10.17843/rpmesp.2014.311.16

Authors

Claudia Zeballos-Palacios Knowledge and Evaluation Research Unit, Mayo Clinic. Minnesota EE. UU. Unidad de Conocimiento y Evidencia (CONEVID), Universidad Peruana Cayetano Heredia. Lima, Perú. Médico cirujano.
Oscar L. Morey-Vargas Knowledge and Evaluation Research Unit, Mayo Clinic. Minnesota EE. UU. MD, specialist in internal medicine.
Juan P. Brito Knowledge and Evaluation Research Unit, Mayo Clinic. Minnesota EE. UU. MBBS.
Víctor M. Montori Knowledge and Evaluation Research Unit, Mayo Clinic. Minnesota EE. UU. Unidad de Conocimiento y Evidencia (CONEVID), Universidad Peruana Cayetano Heredia. Lima, Perú. médico endocrinólogo, magíster en Investigación Biomédica.

DOI:

https://doi.org/10.17843/rpmesp.2014.311.16

Keywords:

Patient-centered care, Decision making, Chronic disease

Abstract

Chronic diseases are the leading cause of morbidity and mortality worldwide. These conditions require considerable time investment and resources from the health system in Peru, as well as from patients and their families. Paradoxically, the developed medical strategies for managing these conditions generate a constant and increasing burden for the patient and their environment, which affects quality of life and therapeutic results. In this article, the role of shared decision making and minimal disruptive medicine will be described as strategies to address these problems.