The Evidence: The Gap Between Guidelines and Clinical Reality
Increasing the effectiveness of adherence interventions may have a far greater impact on the health of the population than any improvement in specific medical treatments
– since a medication that is prescribed but not taken, is ineffective.
formal definition of true clinical inertia: physician behavior falls under Clinical Inertia if and only if 1. a Guideline (G) exists, explicit or implicit 2. the doctor (D) knows the Guideline (G) 3. the doctor (D) thinks that this Guideline (G) applies to the patient (P) 4. the doctor (D) has the resources to apply the Guideline (G) 5. conditions 1–4 have been met, yet the doctor (D) does not follow the Guideline (G) in the case of the patient (P).
Increasing the effectiveness of adherence interventions may have a far greater impact on the health of the population than any improvement in specific medical treatments
– since a medication that is prescribed but not taken, is ineffective.
formal definition of true clinical inertia: physician behavior falls under Clinical Inertia if and only if 1. a Guideline (G) exists, explicit or implicit 2. the doctor (D) knows the Guideline (G) 3. the doctor (D) thinks that this Guideline (G) applies to the patient (P) 4. the doctor (D) has the resources to apply the Guideline (G) 5. conditions 1–4 have been met, yet the doctor (D) does not follow the Guideline (G) in the case of the patient (P).
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