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Blood Press ; 28(4): 217-228, 2019 08.
Article in English | MEDLINE | ID: mdl-31023106

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.


Subject(s)
Clinical Competence/standards , Disease Management , Hypertension/therapy , Practice Patterns, Physicians'/standards , Quality of Health Care , Antihypertensive Agents/therapeutic use , Attitude of Health Personnel , Cardiovascular System/physiopathology , Humans , Patient Care Planning
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