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Titolo:
Clinical inertia
Autore:
Phillips, LS; Branch, WT; Cook, CB; Doyle, JP; El-Kebbi, IM; Gallina, DL; Miller, CD; Ziemer, DC; Barnes, CS;
Indirizzi:
Emory Univ, Sch Med, Div Endocrinol, Atlanta, GA 30322 USA Emory Univ Atlanta GA USA 30322 ed, Div Endocrinol, Atlanta, GA 30322 USA
Titolo Testata:
ANNALS OF INTERNAL MEDICINE
fascicolo: 9, volume: 135, anno: 2001,
pagine: 825 - 834
SICI:
0003-4819(20011106)135:9<825:CI>2.0.ZU;2-U
Fonte:
ISI
Lingua:
ENG
Soggetto:
DEPENDENT DIABETES-MELLITUS; DENSITY-LIPOPROTEIN CHOLESTEROL; EDUCATION-PROGRAM GUIDELINES; URBAN AFRICAN-AMERICANS; PRIMARY-CARE PHYSICIANS; CORONARY HEART-DISEASE; GLYCEMIC CONTROL; MEDICAL OUTCOMES; CONTROLLED TRIAL; BLOOD-PRESSURE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
88
Recensione:
Indirizzi per estratti:
Indirizzo: Phillips, LS Emory Univ, Sch Med, Div Endocrinol, 1639 Pierce Dr,Room 1301, Atlanta, GA30322 USA Emory Univ 1639 Pierce Dr,Room 1301 Atlanta GA USA 30322 USA
Citazione:
L.S. Phillips et al., "Clinical inertia", ANN INT MED, 135(9), 2001, pp. 825-834

Abstract

Medicine has traditionally focused on relieving patient symptoms. However,in developed countries, maintaining good health increasingly involves management of such problems as hypertension, dyslipidemia, and diabetes, which often have no symptoms. Moreover, abnormal blood pressure, lipid, and glucose values are generally sufficient to warrant treatment without further diagnostic maneuvers. Limitations in managing such problems are often due to clinical inertia-failure of health care providers to initiate or intensify therapy when indicated. Clinical inertia is due to at least three problems: overestimation of care provided; use of "soft" reasons to avoid intensification of therapy; and lack of education, training, and practice organizationaimed at achieving therapeutic goals. Strategies to overcome clinical inertia must focus on medical students, residents, and practicing physicians. Revised education programs should lead to assimilation of three concepts: the benefits of treating to therapeutic targets, the practical complexity of treating to target for different disorders, and the need to structure routine practice to facilitate effective management of disorders for which resolution of patient symptoms is not sufficient to guide care. Physicians will need to build into their practice a system of reminders and performance feedback to ensure necessary care.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/09/20 alle ore 21:00:59