Tackling clinical inertia: Use of coproduction to improve patient engagement

Soto, Carmen; Strain, W. David

doi:10.1111/1753-0407.12814

Cited by 6 publications

(7 citation statements)

References 25 publications

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“…Instead a collaborative approach, using the principles of co-production exploring personally meaningful targets (e.g. walking the daughter down the aisle without experiencing shortness of breath) rather than more construed targets of percentage body weight loss 75 .…”

Section: Use Language That Is Free From Judgment or Negative Connotationmentioning

confidence: 99%

The importance of language in engagement between health-care professionals and people living with obesity: a joint consensus statement

Albury

Strain

Brocq³

et al. 2020

The Lancet Diabetes & Endocrinology

102

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Obesity is a chronic condition that requires long-term management and is associated with unprecedented stigma in different settings, including during interactions with the health care system. This stigma has a negative impact on the mental and physical health of people with obesity and can lead to avoidance of health care and disruption of the doctors-patient relationship. There is significant evidence that simply having a conversation about obesity can lead to weight loss which translates into health benefits, however, both health-care practitioners and people living with obesity alike report apprehension in initiating this conversation.We have gathered stakeholders from Obesity UK, physicians, dieticians, clinical psychologists, obesity researchers, conversation analysts, nurses, and representatives from NHS England Diabetes and Obesity. This group has contributed to production of this report on how people living with obesity wish to have their condition referred to, and provides practical guidance for health care professionals to facilitate collaborative and supportive discussions about obesity. The expert stakeholders consider that changes to language used at the point of care can act to alleviate the stigma of obesity within the health care system and support better outcomes for both people living with obesity and for the healthcare system.

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Section: Use Language That Is Free From Judgment or Negative Connotationmentioning

confidence: 99%

The importance of language in engagement between health-care professionals and people living with obesity: a joint consensus statement

Albury

Strain

Brocq³

et al. 2020

The Lancet Diabetes & Endocrinology

102

View full text Add to dashboard Cite

show abstract

“…A model of the causes of clinical inertia explained three main sources: factors related to health care providers, factors related to patients, and factors related to the system. 6 In the current study the results put the most focus on factors related to health care providers comprising of failure to identify problems, start proper treatment, alter the treatment intensity and frequency, failure to set the appropriate goal of therapy, and failure to report proper follow-up symptoms.…”

Section: Discussionmentioning

confidence: 94%

“…5 It is caused by many factors and as a consequence researchers hypothesize three classes of variables prompting clinical inertia, for example, factors associated with healthcare suppliers, patients, and the healthcare setup, with an expected relative commitment of 50%, 30%, and 20% individually. 6 Clinical inertia is furthermore a potential cause of many adverse effects on a patient's chronic conditions such as excess medical cost and increasing mental, social, and physical disability. 6 Usually, clinical inertia is discussed with pharmaceutical therapy but it can be used synonymously with other healthcare services for instance in physical therapy, i.e.…”

Section: Introductionmentioning

confidence: 99%

“…6 Clinical inertia is furthermore a potential cause of many adverse effects on a patient's chronic conditions such as excess medical cost and increasing mental, social, and physical disability. 6 Usually, clinical inertia is discussed with pharmaceutical therapy but it can be used synonymously with other healthcare services for instance in physical therapy, i.e. physical therapist fails to deliver therapeutic intervention timely according to the severity of the condition.…”

Section: Introductionmentioning

confidence: 99%

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Therapeutic Role of Clinical Inertia among Patients with Degenerative Arthritis

Khan¹,

Arshad²,

Zafar³

et al. 2023

PJMHS

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Aim: In underdeveloped countries, clinicians face obstacles in achieving goals of management in conditions such as diabetes, hypertension, stroke, arthritis, sciatica, and lower back pain. In practice, clinical inertia plays a notable role as a factor that leads to inadequate management of chronic diseases. Clinical inertia has on no occasion been elaborated in musculoskeletal disorders in Pakistan. Consequently, the purpose of this study was to check the occurrence of clinical inertia among patients with degenerative arthritis and to know the medical errors associated with it. Methods: This cross-sectional study was conducted from April 2022 to December 2022 and included 150 study participants suffering from degenerative osteoarthritis by non-probability convenient sampling. Data were collected by retrospective chart reviews from private physical therapy clinics in Lahore. Friedman ANOVA was used for comparison between NPRS at the time of the first visit; at week 1 and week 2. Results: The findings of this study suggest that there is a significant difference (P ≤ 0.000) between the pain of study participants at the time of the first visit, after one week, and after the second week. The study also showed that the charts of the research participants receiving treatment did not mention the range of motion associated with degenerative osteoarthritis which is considered one of the crucial goals in patients suffering from degenerative osteoarthritis. Practical Implication: There is a dire need to have an in-depth knowledge of clinical inertia and its factors which will ultimately help to develop specific strategies to minimize reflexive errors that play a causative role in clinical idleness. Conclusions: There is a difference in pain intensity of patients in the first week and during the second week but there is a high risk of clinical inertia in physical therapy practice related to lack of knowledge. Keywords: Degenerative Arthritis, Inertia, Joint Diseases, Musculoskeletal Diseases, Osteoarthritis, Physiotherapy, and Physical Therapy.

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“…Optimum adherence to treatment with hypoglycemic drugs is closely related to a trusting relationship between health professionals and patients [ 112 , 113 ]. The consonance/complicity between patient and physician (a patient’s feeling that their needs and concerns, during medical consultations, were heard and attended to) predicts the quality of adherence to pharmacological treatment in the long term, contributing to the prevention of complications and, when established, to a greater effectiveness in their control [ 114 , 115 ].…”

Section: Main Findingsmentioning

confidence: 99%

Behavioral Sciences in the Optimization of Pharmacological and Non-Pharmacological Therapy for Type 2 Diabetes

Lopes

Roque

Morgado

et al. 2021

Behavioral Sciences

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Type 2 diabetes mellitus is one of the main chronic diseases worldwide, with a significant impact on public health. Behavioral changes are an important step in disease prevention and management, so the way in which individuals adapt their lifestyle to new circumstances will undoubtedly be a predictor of the success of the treatments instituted, contributing to a reduction in the morbidity and mortality that may be associated with them. It is essential to prepare and educate all diabetic patients on the importance of changing behavioral patterns in relation to the disease, with health professionals assuming an extremely important role in this area, both from a pharmacological and non-pharmacological point of view, and also ensuring the monitoring of the progress of these measures. Diabetes is a chronic disease that requires a high self-management capacity on the part of patients in order to achieve success in treating the disease, and non-adherence to therapy or non-compliance with the previously defined plan, together with an erratic lifestyle, will contribute to failure in controlling the disease. The lower adherence to pharmacological and non-pharmacological treatment in diabetes is mainly correlated to socio-economic aspects, lower health literacy, the side effects associated with the use of antidiabetic therapy or even the concomitant use of several drugs. This article consists of a narrative review that aims to synthesize the findings published in the literature, retrieved by searching databases, manuals, previously published scientific articles and official texts, following the methodology of the Scale for Assessment of Narrative Review Articles (SANRA). We aim to address the importance of behavioral sciences in the treatment of diabetes, in order to assess behavior factors and barriers for behavior changes that have an impact on the therapeutic and non-therapeutic optimization in patients with type 2 diabetes mellitus control.

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Tackling clinical inertia: Use of coproduction to improve patient engagement

Cited by 6 publications

References 25 publications

The importance of language in engagement between health-care professionals and people living with obesity: a joint consensus statement

The importance of language in engagement between health-care professionals and people living with obesity: a joint consensus statement

Therapeutic Role of Clinical Inertia among Patients with Degenerative Arthritis

Behavioral Sciences in the Optimization of Pharmacological and Non-Pharmacological Therapy for Type 2 Diabetes

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