The article is out! You can review it here.
The BMJ frontmatter says:
A man being treated for heart failure rejects the offer to attend a specialist clinic because in the previous two years he has made 54 visits to similar clinics for consultant appointments, diagnostic tests, and treatment. According to the authors of this analysis paper, this case and others highlight the need for minimally disruptive medicine that seeks to tailor treatment regimens to the realities of patients’ daily lives.
The LA Times wrote a brief blog about this paper here: http://latimesblogs.latimes.com/booster_shots/2009/08/health-care.html