To overcome clinical inertia, prior studies have not demonstrated that provider education by itself is an effective strategy.4, 10Instead, clinical inertia arises from a combination of medical provider, patient, and office system factors4and addressing these factors simultaneously is the most effective way to overcome the problem.4, 10, 11Nurse- and pharmacist-run care models, for example, focus exclusively on hypertension treatment and use standardized medication titration protocols.10-13These approaches simultaneously address provider factors of poor recognition of elevated BP, nonhypertension-related patient concerns, and clinical uncertainty about how to modify therapy; patient factors of poor medication adherence and poor awareness of disease severity; and office system factors related to variable BP measurement methods.
Full Answer
What are the factors that contribute to clinical inertia?
Patient factors that contribute to clinical inertia. Patient factors that contribute to the problem of clinical inertia may include patient denial of a disease, the belief that a particular disease is not dangerous, medication nonadherance, or resistance to adopting lifestyles that support chronic disease care.
What is the operational definition of clinical inertia?
Second, the operational definition of clinical inertia is necessarily time-dependent and can be measured from the time of an office visit, test, or other assessment until a later point in time.
Can learning theory help reduce clinical inertia in chronic disease care?
Despite the need for effective strategies to reduce clinical inertia and promote a more active approach to chronic disease care, few researchers have developed interventions based on learning theory or office systems theory to reduce clinical inertia in chronic disease care.
What are the appropriate treatment targets for this patients blood pressure?
BP Targets The BP target of <130/80 mm Hg has been proposed as a reasonable one, even for hypertensive subjects in primary prevention with a low overall cardiovascular risk treated either with lifestyle modifications alone or with a combination of BP-lowering drugs and nonpharmacological interventions.
How do you control resistant blood pressure?
How is resistant hypertension treated?Limiting salt and alcohol.Limiting use of NSAIDs for pain relief (acetaminophen can be used instead).Doing at least 30 minutes a day of aerobic activity several days a week.Treating sleep apnea with continuous positive airway pressure.
What is physician inertia?
One of those three goals is to optimize patient care for hypertension control, and a big obstacle to overcome is the phenomenon of clinical inertia. That's when a physician or other health professional does not initiate or intensify therapy in a patient who has not achieved therapeutic goals.
What is health inertia?
1. The tendency of a physical body to oppose any force tending to move it from a position of rest or to change its uniform motion. 2. Denoting inactivity or lack of force, lack of mental or physical vigor, or sluggishness of thought or action.
Can you become immune to blood pressure medication?
Resistant hypertension is high blood pressure that does not respond well to aggressive medical treatment. Hypertension is considered resistant when all of the following are true: Someone is taking three* different blood pressure medications at their maximally tolerated doses.
Why is my BP high even after medication?
You're taking a diuretic and at least two other blood pressure medicines. But your blood pressure still isn't budging. This is called resistant hypertension. Simply put, it means that your high blood pressure (HBP or hypertension) is hard to treat and may also have an underlying (secondary) cause.
What causes clinical inertia?
The patient-related factors that favor clinical inertia include drug side effects, inability to follow complex treatment regimens, poor awareness of the true severity of the disease, limited doctor-patient communication and low level of education, collectively accounting for about 30% of the cases of clinical inertia [ ...
What is inertia in nursing?
Background: Inertia in care is a problem which appears in the nursing care process. Actions related to inertia can be attributed to not adhering to protocols, clinical guidelines and the lack of prevention measures which have undesirable effects on the efficiency of care.
What is therapeutic inertia in diabetes?
Addressing Diabetes Care “Therapeutic inertia” is a lack of timely adjustment to therapy when a patient's treatment goals are not met. In diabetes care, it means being slow to add or change the care plan if a patient's A1C is too high.
What contributes to therapeutic inertia?
They described three provider-related factors that lead to therapeutic inertia: overestimation of quality of care, use of soft excuses to avoid intensification, and lack of materials, time, and training to appropriately escalate care to meet recommended targets.
What is Wunderman Thompson Health?
Wunderman Thompson Health is a creative,data and science agency that inspires growth for ambitious health brands by breaking health inertia.