Category: Reference material

MDM in practice, Reference material, Reflections on MDM, Research on MDM

Vulnerabilities – who is at risk of having their lives disrupted by medical care?Those

When discussing who is at risk of being burdened by treatments, we have come up with a list…we are wondering what other groups people can think of:

  • Individuals with limited familial or social support
  • Individuals with poor overall or health literacy
  • Individuals with many chronic conditions
  • Individuals with treatments that require constant attention, e.g., implanted devices that call attention to themselves throughout the day, pills that need to be taken several times per day
  • Individuals who travel far for healthcare
  • Individuals who have to wait for healthcare: to park, in line, at the office
  • Individuals who have tenuous health insurance who need to spend time arguing with insurance

Who else is in your list?

Papers and presentations, Reference material

A theoretical underpin

How things become part of routines

Carl May and others have developed a theory that explains how complex interventions get to be part of the routine work of complex systems.

While initially motivated by the need to implement tele-medicine in the established health systems, this theory, called the Normalization Process Theory, is robust enough that we can use NPT to illuminate our  understanding of the processes that hinder or promote the normalization of treatment programs in the daily routines of patients.

To learn more about NPT you can visit here.