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Overcoming True Clinical Inertia

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Clinical Inertia

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Abstract

This chapter analyzes various approaches to overcoming true clinical inertia, that which cannot be justified. (1) Education of physicians, during their initial training and through Continuous Medical Education. (2) Facilitators: use of protocols, electronic medical records, disease management, establishment of a Coordinated Health Care Plan, use of telemedicine. (3) Strengthening the physician’s motivation through incentives by health authorities (pay for performance), by peers and other healthcare professionals (pharmacists, nurses), and by patients. The physician’s own self-incentive, in the form of precommitment, is analyzed in detail by calling upon concepts developed within the framework of the philosophy of mind, with a special focus on the importance of habit. (4) We insist upon the importance of the physician knowing the risks presented by the use of heuristics. (5) Finally, concerning the management of emotions, we propose the concept of emotional reversal, the physician calling on positive emotions such as pride. The best rampart against clinical inertia may well be concern for the future safety of the patient, an emotion which can be understood as the philosophic meaning of care.

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  1. Avicenne Hospital and Paris 13 University, Sorbonne Paris Cité, Bobigny, France

    Gérard Reach

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Reach, G. (2015). Overcoming True Clinical Inertia. In: Clinical Inertia. Springer, Cham. https://doi.org/10.1007/978-3-319-09882-1_7

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