Physician and Patient Characteristics Associated With Clinical Inertia in Blood Pressure Control

Chris Harle, Jeffrey S. Harman, Shuo Yang

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Clinical inertia, the failure to adjust antihypertensive medications during patient visits with uncontrolled hypertension, is thought to be a common problem. This retrospective study used 5 years of electronic medical records from a multispecialty group practice to examine the association between physician and patient characteristics and clinical inertia. Hierarchical linear models (HLMs) were used to examine (1) differences in physician and patient characteristics among patients with and without clinical inertia, and (2) the association between clinical inertia and future uncontrolled hypertension. Overall, 66% of patients experienced clinical inertia. Clinical inertia was associated with one physician characteristic, patient volume (odds ratio [OR]=0.998). However, clinical inertia was associated with multiple patient characteristics, including patient age (OR=1.021), commercial insurance (OR=0.804), and obesity (OR=1.805). Finally, patients with clinical inertia had 2.9 times the odds of uncontrolled hypertension at their final visit in the study period. These findings may aid the design of interventions to reduce clinical inertia.

Original languageEnglish (US)
Pages (from-to)820-824
Number of pages5
JournalJournal of Clinical Hypertension
Volume15
Issue number11
DOIs
StatePublished - Nov 1 2013
Externally publishedYes

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Blood Pressure
Physicians
Odds Ratio
Hypertension
Group Practice
Electronic Health Records
Insurance
Antihypertensive Agents
Linear Models
Retrospective Studies
Obesity

ASJC Scopus subject areas

  • Internal Medicine
  • Cardiology and Cardiovascular Medicine
  • Endocrinology, Diabetes and Metabolism
  • Medicine(all)

Cite this

Physician and Patient Characteristics Associated With Clinical Inertia in Blood Pressure Control. / Harle, Chris; Harman, Jeffrey S.; Yang, Shuo.

In: Journal of Clinical Hypertension, Vol. 15, No. 11, 01.11.2013, p. 820-824.

Research output: Contribution to journalArticle

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