Reducing Clinical Inertia in Hypertension Treatment: A Pragmatic Randomized Controlled Trial

Authors, Primary Huebschmann,Amy G.;Mizrahi,Trina;Soenksen,Alyssa;Beaty,Brenda L.;Denberg,Thomas D.
Title Primary Reducing Clinical Inertia in Hypertension Treatment: A Pragmatic Randomized Controlled Trial
Periodical Full The Journal of Clinical Hypertension
Pub Year 2012
Volume 14
issue 5
Start Page 322-9
Abstract Clinical inertia is a major contributor to poor blood pressure (BP) control. The authors tested the effectiveness of an intervention targeting physician, patient, and office system factors with regard to outcomes of clinical inertia and BP control. A total of 591 adult primary care patients with elevated BP (mean systolic BP ≥ 140 mm Hg or mean diastolic BP ≥ 90 mm Hg) were randomized to intervention or usual care. An outreach coordinator raised patient and provider awareness of unmet BP goals, arranged BP-focused primary care clinic visits, and furnished providers with treatment decision support. The intervention reduced clinical inertia (-29% vs -11%, P=.001). Nonetheless, change in BP did not differ between intervention and usual care (-10.1/-4.1 mm Hg vs -9.1/-4.5 mm Hg, P=.50 and 0.71 for systolic and diastolic BP, respectively). Future primary care-focused interventions might benefit from the use of specific medication titration protocols, treatment adherence support, and more sustained patient follow-up visits.
Publisher Blackwell Publishing Ltd
Place of Publication Not Available
Author/Address Not Available
PubMed Link
Reference Type(s) Journal Article
Topic Tag(s) Comprehensive Care;System Approach to Quality and Safety;Primary Care Workforce Issues;Outcomes
Special Population(s) Individuals with Multiple Chronic Conditions
Case Study No
Commentary/Opinion Piece No
Historical Publication No
Key/Foundational Article No
Literature Review No
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