Resumo

MACHADO-ALBA, Jorge E. Clinical inertia, how much affects us?. Revista médica Risaralda [online]. 2013, vol.19, n.1, pp.94-96. ISSN 0122-0667.

The concept of clinical inertia is related to the failure of physicians to initiate or intensify therapy is indicated when they have not achieved the goals established for the treatment of a disease, especially chronic conditions like diabetes mellitus, hypertension and dyslipidemia. It can occur by factors related to the physician (50% of cases), the patient (30%) or the health system (20%) and leads to underutilization of a therapy that is effective in preventing serious clinical outcomes such as death, myocardial infarction and stroke. In research conducted by our group have found that in the absence of control of HbA1c in diabetics across the country, in 60.3% of cases the doctor does not change the therapy, and neither does it in 41.8% of hypertensive or 57.5% of dyslipidemic patients, when not achieve appropriate blood pressure or LDL-cholesterol levels. We believe it is necessary to implement strategies that involve training, updating and awareness of physicians in the management of these chronic morbidities, but more so, we need a change in attitude of our clinicians, who approach the needs of their patients and make proper controls and provide appropriate information at each visit.

Palavras-chave : intertia; hypertension; diabetes mellitus; dyslipidemias; Attitude of Health Personnel; quality of health care.

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