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The term clinical or physician inertia has been used to describe situations in which patients return for visits having taken their medication but have not had therapy changed despite BP levels that are higher than levels established by guidelines.
Background. Therapeutic inertia has been defined as the failure of health-care provider to initiate or intensify therapy when therapeutic goals are not docHubed. It is regarded as a major cause of uncontrolled hypertension.
Overcoming clinical inertia requires a multifaceted approach, including healthcare provider education, improvement of the diagnostic and treatment process, and better communication with patients.
Addressing Diabetes Care Therapeutic inertia is a lack of timely adjustment to therapy when a patients treatment goals are not met. In diabetes care, it means being slow to add or change the care plan if a patients A1C is too high.
Physician inertia is defined as the failure to initiate therapy or to intensify or change therapy in patients with BP values 140/90 mm Hg, or 130/80 mm Hg in hypertensive patients with diabetes, renal, or coronary heart disease.
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One of the major obstacles to better BP control is clinical inertia. Clinical inertia may be simply defined as an office visit at which no therapeutic move was made to lower the BP of a patient with uncontrolled hypertension.
Clinical inertia is defined as a failure to initiate or intensify treatment in a timely manner in people with diabetes whose health is likely to improve with this intensification [1].
Diagnostic inertia is defined as non-adherence to clinical guidelines for diagnosing diseases. To the authors knowledge no previous studies have analysed diagnostic inertia solely in obese patients.

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