Therapeutic inertia is the lack of beginning or intensification of treatment when indicated, and does not exclusively affect doctors, but is also extensible to the rest of the actors involved in monitoring the disease, such as nursing staff, the pharmacistAnd sometimes relatives or caregivers.
This therapeutic inertia is one of the main causes of bad glycemic control in patients with diabetes and can prevent the benefits of proper treatment;Although, however, aspects such as clinical characteristics, compliance and even patient preferences can advise non -intensification of treatment.
To avoid it, objectives that are not the same for all patients should be agreed since they vary according to age, concomitant diseases and personal circumstances of each.Thus, therapeutic inertia occurs when professionals recognize a problem but do not act to initiate or intensify the treatment.
According to the portal, the interactive doctor, in the case of type 2 diabetes, usually occurs due to the lack of self -control, since the patient does not follow the guidelines that are marked from his doctor and nursing staff.However, we must bear in mind that a small part of guilt can be awarded to the health system, which is increasingly putting more obstacles for the treatment of this type of patients for economic reasons.
This inertia depends on three factors involved throughout the care process: the doctor, having estimated that his contribution is 50 %;that of the patient, with 30 %, and the health system, with 20 %.
In primary care, consultation is a process, especially for chronic problems, in which risk is lower and greater uncertainty.The relationship between doctor and patient is continued in time, and therefore, this medical-patient relationship mustThe doctor's ability to make him see his strengths and weaknesses in the control of his illness.
In the case of DM2, good communication is essential, since you have to know life habits to seek the most appropriate therapy, as well as the diet and exercise of that patient.On the other hand, when establishing the glycemic objectives, we must keep in mind the clinical factors, but also psychological and socioeconomic aspects of the patient.
To avoid inertia, the ideal would be that by the health system more information and training campaigns aimed at diabetics, with testimonies of real patients, which have suffered some pathology associated with the bad control of diabetes, to be implanted, toBeing more aware of this type of patient of the seriousness of their disease than if it is not correctly controlled.
It is also necessary to avoid routines and consider each patient as a whole to establish individualized objectives and try to achieve them.