[en] Therapeutic inertia is one of the components of clinical inertia. It mainly concerns the management of chronic diseases. It may be defined as the attitude of health care providers who do not initiate or intensify therapy appropriately despite recognition of the problem. Multiple causes may be identified, related to the physician but also to the patient and to the health care system. The consequences may be dramatic, both for the patient, in terms of quality of life and/or life expectancy, and for the society, because of the huge cost resulting from complications due to therapeutic inertia. Thus, various solutions should be proposed to help solving this important public health problem, focusing the actions on the physician, the patient and/or the health care system. [fr] L’inertie thérapeutique est une des composantes de l’inertie médicale. Elle concerne essentiellement la prise en charge des maladies chroniques. Elle peut être définie comme l’attitude des soignants aboutissant à un retard dommageable dans l’instauration ou l’intensification d’un traitement alors que le diagnostic est posé et le risque connu. Les causes en sont multiples, liées au médecin lui-même, mais aussi au patient et au système de soins. Les conséquences peuvent être graves à la fois pour le patient, en termes de qualité et/ou d’espérance de vie, mais aussi pour la société, en raison du coût souvent exorbitant engendré par les complications que cette inertie thérapeutique peut engendrer. Dès lors, diverses solutions doivent être proposées pour remédier à cet important problème de santé publique, en ciblant les actions sur le médecin, le patient et/ou le système de soins
Disciplines :
Human health sciences: Multidisciplinary, general & others
Author, co-author :
Scheen, André ; Université de Liège - ULiège > Département des sciences cliniques > Diabétologie, nutrition et maladie métaboliques - Médecine interne générale
Andrade SE, Gurwitz JH, Field TS, et al. - Hypertension management: the care gap between clinical guidelines and clinical practice. Am J Manag Care, 2004, 10, 481-486. (Pubitemid 38970231)
Kotseva K, Wood D, De Backer G, et al. - Cardiovascular prevention guidelines in daily practice : a comparison of EUROASPIRE I, II, and III surveys in eight European countries. Lancet, 2009, 373, 929-940.
Philips LS, Branch WT, Cook CB, et al. - Clinical inertia. Ann Intern Med, 2001, 135, 825-834.
Reach G. - Patient non-adherence and healthcare-provider inertia are clinical myopia. Diabetes Metab, 2008, 34, 382-385.
Scheen AJ, Giet D. - Non-observance thérapeutique : causes, conséquences, solutions. Rev Med Liège, 2010, 65, 239-245.
Scheen AJ. - Comment je traite... De la pharmacologie spéciale à la thérapeutique médicale : plaidoyer pour un enseignement privilégiant l'apprentissage au raisonnement thérapeutique, de la décision à la prescription. Rev Med Liège, 2000, 55, 811-816.
Scheen AJ, Parada A, Giet D. - Conseils pour une meilleure prescription médicamenteuse. Rev Med Liège, 2006, 61, 488-493. (Pubitemid 44049503)
Allen JD, Curtiss FR, Fairman KA. - Nonadherence, clinical inertia, or therapeutic inertia ? J Manag Care Pharm, 2009, 15, 690-695.
Faria C, Wenzel M, Lee KW, et al. - A narrative review of clinical inertia : focus on hypertension. J Am Soc Hypertens, 2009, 3, 267-276.
Tsang JL, Mendelsohn A, Tan MK, et al. - Discordance between physicians' estimation of patient cardiovascular risk and use of evidence-based medical therapy. Am J Cardiol, 2008,102,1142-1145.
Mosca L. - Guidelines for prevention of cardiovascular disease in women : a summary of recommendations. Prev Cardiol, 2007, 10, 19-25.
Ford ES, Ajani UA, Croft JB, et al. - Explaining the decrease in US deaths from coronary disease, 1980-2000. N Engl J Med, 2007, 356, 2388-2398.
Scheen AJ. - Interactions médicamenteuses : de la théorie à la pratique. Rev Med Liège, 2006, 61, 471-482.
Lomas J, Anderson GM, Domnick-Pierre K, et al. - Do practice guidelines guide practice ? The effect of a consensus statement on the practice of physicians. N Engl J Med, 1989, 321, 1306-1311. (Pubitemid 19267218)
Numéro spécial. - De la médecine factuelle aux recommandations thérapeutiques. Rev Med Liège, 2000, 55, 201-320.
Brass EP. - The gap between clinical trials and clinical practice: the use of pragmatic clinical trials to inform regulatory decision making. Clin Pharmacol Ther, 2010, 87, 351-355.
Grant R, Adams AS, Trinacty CM, et al. - Relationship between patient medication adherence and subsequent clinical inertia in type 2 diabetes glycemic management. Diabetes Care, 2007, 30, 807-812. (Pubitemid 46556571)
Wallemacq C, Van Gaal LF, Scheen AJ. - Le coût du diabète de type 2 : résumé de l'enquête européenne CODE-2 et analyse de la situation en Belgique. Rev Med Liège, 2005, 60, 278-284.
Egan BM, Zhao Y, Axon RN. - US trends in prevalence, awareness, treatment, and control of hypertension, 1988-2008. JAMA, 2010, 303, 2043-2050.
Thomson O'Brien MA, Oxman AD, Davis DA, et al. - Audit and feedback effects on professional practice and health care outcomes. Cochrane Database Syst Rev, 2000, CD000259.
Glickman SW, Peterson ED. - Innovative health reform models : pay-for-performance initiatives. Am J Manag Care, 2009, 15, S300-S305.
Scheen AJ, Bourguignon JP, Guillaume M, et membres du programme EDUDORA2. - Ĺducation thérapeutique : une solution pour vaincre l'inertie clinique et le défaut d'observance. Rev Med Liège, 2010, 65, 250-255.
Goderis G, Borgermans L, HeymanJ et al. - Type 2 diabetes in primary care in Belgium: need for structured shared care. Exp Clin Endocrinol Diabetes, 2009, 117, 367-372.
Wagner EH. - More than a case manager (Editorial). Ann Intern Med, 1998, 129, 654-656.
Wagner EH. - The role of patient care teams in chronic disease management. BMJ, 2000, 320, 569-572.
Scott I. - What are the most effective strategies for improving quality and safety of health care ? Intern Med J, 2009, 39, 389-400.
Scheen AJ, Radermecker R, De Flines J, Ducobu J. - Actualités thérapeutiques en lipidologie. Rev Med Liège, 2007, 62, 324-328.
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