Clinical inertia in hypertension: a new holistic and practical concept within the cardiovascular continuum and clinical care process.
Por:
Pallarés-Carratalá V, Bonig-Trigueros I, Palazón-Bru A, Esteban-Giner MJ, Gil-Guillén VF and Giner-Galvañ V
Publicada:
1 ago 2019
Ahead of Print:
26 abr 2019
Resumen:
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.
Filiaciones:
Pallarés-Carratalá V:
a Health Surveillance Unit , Castellón Mutual Insurance Union , Castellón de la Plana , Spain
b Department of Medicine , Jaume I University , Castellón de la Plana , Spain
Bonig-Trigueros I:
c Department of Internal Medicine (Cardiovascular Prevention Unit) , La Plana Hospital , Vila-Real , Spain
:
d Department of Clinical Medicine , Miguel Hernández University , San Juan de Alicante , Spain
Esteban-Giner MJ:
e Department of Internal Medicine (Hypertension and Cardiometabolic Risk Unit) , Mare de Déu dels Lliris Hospital , Alcoy , Spain
:
d Department of Clinical Medicine , Miguel Hernández University , San Juan de Alicante , Spain
f Research Unit General University Hospital of Elda , Elda , Spain
Giner-Galvañ V:
e Department of Internal Medicine (Hypertension and Cardiometabolic Risk Unit) , Mare de Déu dels Lliris Hospital , Alcoy , Spain
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