Predictors of Clinical Inertia and Type 2 Diabetes
Assessment of Primary Care Physicians and Their Patients
Bibliographic Data
| ID | 15515526 |
|---|---|
| Authors | Nemanja Isajev (University of Belgrade, corresponding author), Vesna Bjegović-Mikanović (0000-0002-8299-6555, University of Belgrade), Zoran Bukumirić (0000-0002-7609-4504, University of Belgrade), David Vrhovac (University Children's Hospital, Belgrade), Nebojša Lalić (0000-0002-8082-6560, University of Belgrade), Nebojsa M Lalic (University of Belgrade) |
| Year | 2022 |
| Volume | 19 |
| Issue | 8 |
| Pages | 4436-4436 |
| Publication date | 2022-04-07 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph19084436 |
| PMID | 35457303 |
| OpenAlex | W4224228574 |
| Language | EN |
| References cited | 28 |
With the growing prevalence and complex pathophysiology of type 2 diabetes, many patients fail to achieve treatment goals despite guidelines and possibilities for treatment individualization. One of the identified root causes of this failure is clinical inertia. We explored this phenomenon, its possible predictors, and groups of patients affected the most, together with offering potential paths for intervention. Our research was a cross-sectional study conducted during 2021 involving 52 physicians and 543 patients of primary healthcare institutions in Belgrade, Serbia. The research instruments were questionnaires based on similar studies, used to collect information related to the factors that contribute to developing clinical inertia originating in both physicians and patients. In 224 patients (41.3%), clinical inertia was identified in patients with poor overall health condition, long diabetes duration, and comorbidities. Studying the changes made to the treatment, most patients (53%) had their treatment adjustment more than a year ago, with 19.3% of patients changing over the previous six months. Moreover, we found significant inertia in the treatment of patients using modern insulin analogues. Referral to secondary healthcare institutions reduced the emergence of inertia. This assessment of primary care physicians and their patients pointed to the high presence of clinical inertia, with an overall health condition, comorbidities, diabetes duration, current treatment, last treatment change, glycosylated hemoglobin and fasting glucose measuring frequency, BMI, patient referral, diet adjustment, and physician education being significant predictors
Diabetes mellitus · Family medicine · Health care · Intensive care medicine · Intervention (counseling · Physical therapy · Primary care · Referral · Type 2 diabetes · Diabetes and associated disorders · Diabetes Management and Research · Diabetes Treatment and Management · Medicine · Nursing · Internal Medicine
| Highly cited | No |
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