Clinical inertia in hypertension: a new holistic and practical concept within the cardiovascular continuum and clinical care process. (4th July 2019)

• Record Type: Journal Article
• Authors: Pallarés-Carratalá, Vicente; Bonig-Trigueros, Irene; Palazón-Bru, Antonio; Esteban-Giner, María José; Gil-Guillén, Vicente Francisco; Giner-Galvañ, Vicente
• Is Part Of: Blood pressure. Volume 28:Number 4(2019)
• Page Start: 217
• Page End: 228
• Publication Date: 2019-07-04
• Subjects: Clinical inertia -- hypertension -- medical errors -- cardiovascular diseases -- therapeutics -- diagnosis; Blood pressure -- Periodicals; Hypertension -- Periodicals; Hypertension -- Periodicals; Blood Pressure -- Periodicals; 612.14
• DOI: 10.1080/08037051.2019.1608134
• Languages: English
• ISSNs: 0803-7051

Abstract

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.