AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |
Back to Blog
Farsky enemies4/12/2023 ![]() ![]() The creation of multi-professional teams able to work with a common and shared language, the planning of educational activities, the presence and implementation of specific and shared diagnostic-therapeutic paths, the creation of pathology registers, and the evaluation of performances with the use of indicators, are all plausibly effective organizational strategies to improve the clinical-care outcomes and reduce clinical inertia.ĭiabetes mellitus is a chronic degenerative disease characterized by high risk of complications and high social, economic and health burden. Through adequate training, clinicians can evaluate their own performances, identify critical areas and adopt suitable strategies, in a virtuous quality cycle able to increase knowledge, and modify behaviors.Ī structured and continuous educational activity, able to improve patients’ self-management abilities and responsibility, is fundamental. Three classes of factors emerge as causes of clinical inertia: factors related to the healthcare professionals, to the patients and to the National Healthcare System. There is a clear need to encourage earlier intensification and address issues around therapeutic inertia to make health systems more sustainable and improve the quality of life of diabetic patients. The phenomenon of clinical inertia is defined as the failure to start a therapy or its intensification/non-intensification when appropriate, in diabetology.ĭespite the introduction of many glucose-lowering therapies that have proved to be efficacious in clinical trials, glycaemic control remains suboptimal in many patients globally, at all stages of treatment intensification. Our main goal is the identification of the causes of clinical inertia in diabetology, and the quantification of its social and health-related consequences through the adoption of appropriate indicators, in an effort to advance possible solutions and proposals to fight and possibly overcome clinical inertia, thus improving health outcomes and quality of care. In the present manuscript, we have documented the issue of inertia in its complexity, assessing its dimensions, its epidemiological weight, and its burden over the effectiveness of care. The phenomenon of clinical inertia in diabetology, defined as the failure to start a therapy or its intensification/de-intensification when appropriate, has been studied for almost 20 years, and it is not limited to diabetes care, but also affects other specialties. Nonetheless, many population studies show that glycemic control in diabetic patients is often inadequate. Numerous studies have shown that optimizing metabolic control may reduce the risk of micro and macrovascular complications related to the disease, and the algorithms suggest that an appropriate and timely step of care intensification should be proposed after 3 months from the failure to achieve metabolic goals. Diabetes mellitus is a chronic disease characterized by high social, economic and health burden, mostly due to the high incidence and morbidity of diabetes complications.
0 Comments
Read More
Leave a Reply. |