clinical inertia


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clinical inertia

Inaction by a prescriber when guidelines or optimal care would recommend a more aggressive course.
Synonym: therapeutic inertia
See also: inertia
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References in periodicals archive ?
Clinical inertia as well as patients' concerns about the potential negative impact of insulin therapy on their QoL are the main barriers to the timely initiation of this treatment (14).
Clinical inertia is now recognized as an important barrier contributing to inadequate glycemic control (Phillips et al.
"Clinical inertia" is defined as the "lack of physician/provider action in the face of abnormal findings," ADA vice president of clinical affairs Dr.
However, some technical aspects of the proposed measure of HbA1c-related clinical inertia require further attention.
Reluctance to introduce insulin therapy or negative feelings about it (TABLE 2) (9,14,15) on the part of clinicians creates, or contributes to, "clinical inertia"--defined as awareness of a problem but a lack of action to resolve it.
Fixed-dose combinations may contribute to clinical inertia, not lessen it, he added.
The causes of this clinical inertia include a lack of formal training in obesity, inadequate counseling skills, lack of office tools and resources, lack of reimbursement, and brief office visits that focus on the acute symptoms of patients whose chief complaint typically is not "I am overweight."
Clinical inertia is another challenge, as clinicians may be hesitant to stop therapy in patients already on a fibrate-statin combination.
(5,6) Physician failure to prescribe adequate doses of medication, so-called clinical inertia, may also be a factory Causes and remedies for pseudo-resistance are summarized in the algorithm on page 643.
QUEBEC CITY -- The management of diabetes is compromised by "clinical inertia" in responding to a patient's elevated hemoglobin [A.sub.1c] levels, according to a new study.

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