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Clinical inertia in hypertension: a new holistic and practical concept within the cardiovascular continuum and clinical care process.
Blood Pressure 2019 April 27
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.
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.
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