Clinical inertia to insulin initiation and intensification in the UK: A focused literature review

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• 作者：Kamlesh Khunti^a ; ^{kk22@leicester.ac.uk} ; ^{rkg4@le.ac.uk} ; David Millar-Jones^b
• 关键词：Insulin intensification ; Clinical inertia ; Type 2 diabetes guidelines
• 刊名：Primary Care Diabetes
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：11
• 期：1
• 页码：3-12
• 全文大小：840 K
• 卷排序：11

文摘

Timely achievement of glycaemic control is key to optimising clinical outcomes. Clinical inertia is most pronounced at the intensification with insulin stage. The NICE guidelines on type 2 diabetes do not explicitly address clinical inertia. Barriers to treatment intensification span patient, clinician and system levels. Clinical inertia can be tackled with increased education on therapeutic options.