Drs. Montori and Shah from Mayo Clinic were featured on the August 9, 2012 WIHI (Institute for Healthcare Improvement) Talkshow in a discussion about minimally disruptive medicine. The 60-minute broadcast audio, with host Madge Kaplan, can be heard here. Some chat responses to the opening question: “If you could change one thing in your interactions and discussion with patients with chronic conditions, what would that be?” included:
- More of a partnership
- Time to listen and be listened to
- Base treatment on the patient’s goals, not our goals for them
- A holistic approach to care
- Clarify with the patient what his or her long-term goals are
These comments highlight the talkshow’s topic of minimally disruptive medicine. As Dr. Montori stated: “The goal needs to be shifting and sharing responsibility for chronic disease with patients and families — not shifting the burden.”
On what we believe to be the first interactive decision aid exercise on webinar, the listeners were offered the Statin Choice decision aid with a 20% risk of having a heart attack in the next 10 years. Over 2/3 of responders declined to take statins, although the guidelines would strongly recommend such people take statins!
Minimally disruptive medicine and shared decision making efforts at the Mayo Clinic were also mentioned in IHI’s Pursuing the Triple Aim (Maureen Bisognano & Charles Kenney, Jossey-Bass, 2012).