Vicente Pallarés-Carratalá1,2, Irene Bonig-Trigueros3, Antonio Palazón-Bru4, María José Esteban-Giner5, Vicente Francisco Gil-Guillén4,6, Vicente Giner-Galvañ5. 1. a Health Surveillance Unit , Castellón Mutual Insurance Union , Castellón de la Plana , Spain. 2. b Department of Medicine , Jaume I University , Castellón de la Plana , Spain. 3. c Department of Internal Medicine (Cardiovascular Prevention Unit) , La Plana Hospital , Vila-Real , Spain. 4. d Department of Clinical Medicine , Miguel Hernández University , San Juan de Alicante , Spain. 5. e Department of Internal Medicine (Hypertension and Cardiometabolic Risk Unit) , Mare de Déu dels Lliris Hospital , Alcoy , Spain. 6. f Research Unit General University Hospital of Elda , Elda , Spain.
Abstract
Purpose: Recognition of clinical inertia is essential to improve the control of chronic diseases. Although it is very intuitive, a better interpretation of the concept of clinical inertia is lacking, likely due to its high complexity. Materials and Methods: After a review of the published articles, we propose a practical vision of inertia, contextualized within the clinical process of hypertension care. Results: This new vision enables the integration of previous terms and definitions of clinical inertia, as well as proposing specific strategies for its reduction. Conclusion: Although some concepts should be considered as 'justified inertia' or 'investigator inertia', the idea that inertia may be present throughout the continuum of care gives physicians a holistic view of the problem that is easily applicable to their clinical practice. Measures to overcome inertia are complicated because of the intrinsic complexity of the concept.
Purpose: Recognition of clinical inertia is essential to improve the control of chronic diseases. Although it is very intuitive, a better interpretation of the concept of clinical inertia is lacking, likely due to its high complexity. Materials and Methods: After a review of the published articles, we propose a practical vision of inertia, contextualized within the clinical process of hypertension care. Results: This new vision enables the integration of previous terms and definitions of clinical inertia, as well as proposing specific strategies for its reduction. Conclusion: Although some concepts should be considered as 'justified inertia' or 'investigator inertia', the idea that inertia may be present throughout the continuum of care gives physicians a holistic view of the problem that is easily applicable to their clinical practice. Measures to overcome inertia are complicated because of the intrinsic complexity of the concept.
Entities:
Keywords:
Clinical inertia; cardiovascular diseases; diagnosis; hypertension; medical errors; therapeutics
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