Patient non-adherence and healthcare-provider inertia are clinical myopia

Diabetes & Metabolism
Gérard Reach

Abstract

The efficient implementation of healthcare is often jeopardized by the lack of patient adherence to medical recommendations and by inadequate healthcare-provider adherence to current guidelines, a phenomenon recently described as "clinical inertia". We propose here a theoretical model, based on concepts developed in the field of analytical philosophy of mind, that describes the mental mechanisms shared by the two phenomena, thus explaining their synergistically deleterious influence on the efficiency of care. We suggest that a failure to give preference to the long-term benefits of treatment intensification may represent a common mechanism underlying both patient non-adherence and physician clinical inertia. We dub such a failure as "clinical myopia". The model is explained in the context of clinical observations made in type 1 and 2 diabetic patients. However, it may also be relevant to other asymptomatic chronic diseases.

References

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Citations

Oct 12, 2010·Diabetes & Metabolism·A FridUNKNOWN Scientific Advisory Board for the Third Injection Technique Workshop
Apr 9, 2013·La Presse médicale·Gérard Reach
Jul 5, 2011·Joint, Bone, Spine : Revue Du Rhumatisme·Gérard Reach
May 10, 2011·Diabetes & Metabolism·G ReachH Le Clésiau
Oct 12, 2010·Diabetes & Metabolism·A FridK Strauss
May 1, 2009·Diabetes/metabolism Research and Reviews
Jul 17, 2012·Diabetes Research and Clinical Practice·Gérard Reach
Mar 15, 2011·Clinical Therapeutics·Jaco VoorhamUNKNOWN Groningen Initiative to Analyze Type 2 Diabetes Treatment Group
Sep 7, 2016·Mayo Clinic Proceedings·Anders H FridKenneth W Strauss
Sep 14, 2016·Annual Review of Pharmacology and Toxicology·Kim L LavoieTavis S Campbell
Feb 13, 2018·Current Medical Research and Opinion·Mark PeyrotGérard Reach
Mar 16, 2017·Diabetes Therapy : Research, Treatment and Education of Diabetes and Related Disorders·Sanjay KalraKenneth W Strauss
Apr 21, 2018·Diabetes Therapy : Research, Treatment and Education of Diabetes and Related Disorders·Lawrence BlondeBruno Guerci
Dec 20, 2013·Journal of Diabetes Science and Technology·Pratik ChoudharyGérard Reach
Jul 26, 2018·Frontiers in Neurology·Gustavo SaposnikMuhammad Mamdani
Nov 10, 2021·American Journal of Cardiovascular Drugs : Drugs, Devices, and Other Interventions·Atul PathakMichel Burnier
Nov 13, 2009·Diabetes Care·Stefano Del PratoRoberto Miccoli

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