临床惯性在慢性病管理中的影响及药师克服临床惯性的方法

目的：本文综述了临床惯性的定义和影响因素,根据实际情况提出了药师克服临床惯性的诸多建议,为临床药师参与慢病管理提供指导和参考。方法：我院门诊药师应用“药物治疗管理”服务模式, 对2019年6-8月接收的200名高血压病患者,分析探讨临床惯性的影响及药师克服的方法。结果：在初诊的200名患者中血压达标率为60%,存在临床惯性现象的患者共60人,由于药师的干预,复诊患者减少了 40人,血压达标率上升到90%。结论：临床惯性在慢病管理中普遍存在,药师参与慢病管理可以有效地克服临床惯性。

The Influence of Clinical Inertia in the Management of Chronic Diseases and the Methods by Pharmacists of Overcoming It

Objective: The author reviews the definition and influencing factors of clinical inertia, and puts forward many suggestions for pharmacists to overcome clinical inertia according to the actual situation, and provides guidance and references for clinical pharmacists to participate in chronic disease management. Methods: The outpatient pharmacists of our hospital applied the service mode of "drug treatment management" to serve 200 patients with hypertension from June to August, 2019, and the influence of clinical inertia and the methods for pharmacists to overcome it are analyzed. Results: Among the 200 newly diagnosed patients, the compliance rate of blood pressure was 60%, and a total of 60 patients had clinical inertia. Due to the intervention of pharmacists, the number of follow-up patients decreased by 40, and the compliance rate increased to 90%. Conclusion: Clinical inertia is common in chronic disease management. Pharmacists who participate in chronic disease management will effectively overcome clinical inertia.