Thank you for these comments. Burden of treatment is greatly influenced by how health services are configured and delivered and I would agree that short consultation times and increasing pressure on health care staff makes it more difficult to provide person centred care (1). Consequently, in previous work we have suggested that poor care experiences are to a large extent "structurally induced" (1) by the way health care systems are organised and this necessitates a complete rethinking of our approach to health care delivery.
References
1. Browne S, Macdonald S, May CR, Macleod U, Mair FS. Patient, carer and professional perspectives on barriers and facilitators to quality care in advanced heart failure. PLoS ONE 2014; 9 (3).
Competing interests:
I supervise a PhD studentship funded by the Chief Scientist’s Office, Scotland, that addresses the subject of treatment burden in stroke and co-lead the International Workgroup for Minimally Disruptive Medicine with Victor Montori.
Rapid Response:
Thank you for these comments. Burden of treatment is greatly influenced by how health services are configured and delivered and I would agree that short consultation times and increasing pressure on health care staff makes it more difficult to provide person centred care (1). Consequently, in previous work we have suggested that poor care experiences are to a large extent "structurally induced" (1) by the way health care systems are organised and this necessitates a complete rethinking of our approach to health care delivery.
References
1. Browne S, Macdonald S, May CR, Macleod U, Mair FS. Patient, carer and professional perspectives on barriers and facilitators to quality care in advanced heart failure. PLoS ONE 2014; 9 (3).
Competing interests: I supervise a PhD studentship funded by the Chief Scientist’s Office, Scotland, that addresses the subject of treatment burden in stroke and co-lead the International Workgroup for Minimally Disruptive Medicine with Victor Montori.