Inertia is the resistance of a physical object to a change in its state of motion or rest. Phillips et al1 have described clinical inertia as “failure of health care providers to initiate or intensify therapy when indicated.” Although clinical inertia may apply to all medical fields, given the lag time between advances in clinical understanding and incorporation into clinical guidelines, as well as the other time needed for the translation of clinical guidelines into clinical practice, Phillips et al1 intended to limit the discussion of inertia to disorders in which abnormal values may be the only manifestation of the disease, such as diabetes, hypertension, and dyslipidemia. Quiz Ref IDMain causes of clinical inertia include overestimation of care provided, use of “soft” reasons to avoid intensification of therapy (incorrect perception of clinical improvement, dietary nonadherence, and concerns about translation of clinical trials results to individual patients), and lack of understanding about achieving therapeutic goals. While physicians may cite patient refusal or nonadherence as the reason for clinical inertia, it seems likely that in many instances, physician inertia is the reason for the problem.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 19
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.