Clinical inertia in asthma.

IF 3.1 3区 医学 Q1 PRIMARY HEALTH CARE NPJ Primary Care Respiratory Medicine Pub Date : 2023-10-14 DOI:10.1038/s41533-023-00356-5
Yosuke Fukuda, Tetsuya Homma, Hironori Sagara
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Abstract

Despite advances in pharmaceutical treatment in recent years, a relatively high proportion of patients with asthma do not have adequate asthma control, causing chronic disability, poor quality of life, and multiple emergency department visits and hospitalizations. A multifaceted approach is needed to overcome the problems with managing asthma, and clinical inertia (CI) is a crucial concept to assist with this approach. It divides clinical inertia into three main categories, which include healthcare provider-related, patient-related, and healthcare system-related CI. The strategies to overcome these CI are complex, and the M-GAP approach, which combines a multidisciplinary approach, dissemination of guidelines, utilization of applications, and development and promotion of low-cost prescriptions, will help clinicians.

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哮喘的临床惰性。
尽管近年来药物治疗取得了进展,但相对较高比例的哮喘患者没有得到充分的哮喘控制,导致慢性残疾、生活质量低下,以及多次急诊就诊和住院。需要一种多方面的方法来克服哮喘管理的问题,而临床惰性(CI)是帮助这种方法的一个关键概念。它将临床惯性分为三大类,包括与医疗保健提供者相关的CI、与患者相关的CI和与医疗保健系统相关的CI。克服这些CI的策略很复杂,而M-GAP方法结合了多学科方法、指南的传播、应用程序的利用以及低成本处方的开发和推广,将帮助临床医生。
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来源期刊
NPJ Primary Care Respiratory Medicine
NPJ Primary Care Respiratory Medicine PRIMARY HEALTH CARE-RESPIRATORY SYSTEM
CiteScore
5.50
自引率
6.50%
发文量
49
审稿时长
10 weeks
期刊介绍: npj Primary Care Respiratory Medicine is an open access, online-only, multidisciplinary journal dedicated to publishing high-quality research in all areas of the primary care management of respiratory and respiratory-related allergic diseases. Papers published by the journal represent important advances of significance to specialists within the fields of primary care and respiratory medicine. We are particularly interested in receiving papers in relation to the following aspects of respiratory medicine, respiratory-related allergic diseases and tobacco control: epidemiology prevention clinical care service delivery and organisation of healthcare (including implementation science) global health.
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