Changing Provider Behavior in the Context of Chronic Disease Management: Focus on Clinical Inertia.

Annu Rev Pharmacol Toxicol

Department of Psychology, University of Calgary, Calgary, Alberta T2N 1N4, Canada; email:

Published: January 2017

Widespread acceptance of evidence-based medicine has led to the proliferation of clinical practice guidelines as the primary mode of communicating current best practices across a range of chronic diseases. Despite overwhelming evidence supporting the benefits of their use, there is a long history of poor uptake by providers. Nonadherence to clinical practice guidelines is referred to as clinical inertia and represents provider failure to initiate or intensify treatment despite a clear indication to do so. Here we review evidence for the ubiquity of clinical inertia across a variety of chronic health conditions, as well as the organizational and system, patient, and provider factors that serve to maintain it. Limitations are highlighted in the emerging literature examining interventions to reduce clinical inertia. An evidence-based framework to address these limitations is proposed that uses behavior change theory and advocates for shared decision making and enhanced guideline development and dissemination.

Download full-text PDF

Source
http://dx.doi.org/10.1146/annurev-pharmtox-010716-104952DOI Listing

Publication Analysis

Top Keywords

clinical inertia
16
clinical practice
8
practice guidelines
8
clinical
6
changing provider
4
provider behavior
4
behavior context
4
context chronic
4
chronic disease
4
disease management
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!