Department of Physiology, Pharmacology, and Toxicology, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
J Natl Med Assoc. 2019 Feb;111(1):18-27. doi: 10.1016/j.jnma.2018.04.002. Epub 2018 May 3.
Dyslipidemia is among the most significant risk factors of cardiovascular disease. Many patients with dyslipidemia fail to meet certain therapeutic targets as a result of clinical inertia.
To explore the views and opinions of physicians who often see and provide healthcare to patients with dyslipidemia on clinical inertia and to achieve consensus on the factors they believed promote clinical inertia in the Palestinian clinical practice.
This study was conducted in an observational design using the Delphi technique as a formal consensus method. A panel of fifty physicians participated this study. A two Delphi rounds were followed to achieve consensus on a list of factors they believed promoted clinical inertia.
The majority (86%) of the panelists believed that clinical inertia was prevalent in caring for patients with dyslipidemia. Of the 40 factors initially included in the questionnaire, consensus was achieved on 21 (52.5%) factors related to the physician, 10 (25.0%) factors related to the patient, and 5 (12.5%) factors related to the office and healthcare system as promoters of clinical inertia in the first and second Delphi rounds.
This study highlights factors promoting clinical inertia in managing dyslipidemia from the views of physicians who often provide healthcare to patients with dyslipidemia.
Consensus was achieved on factors related to the physician, patient, and healthcare system that promote clinical inertia in caring for patients with dyslipidemia in the Palestinian clinical practice by a panel of physicians who often provide healthcare to those patients. Further studies are still needed to design strategies to eliminate or reduce the phenomenon of clinical inertia in caring for patients with dyslipidemia and improve patient outcomes.
血脂异常是心血管疾病最重要的危险因素之一。由于临床惰性，许多血脂异常患者无法达到某些治疗目标。
探讨经常接诊和治疗血脂异常患者的医生对临床惰性的看法和意见，并就他们认为在巴勒斯坦临床实践中促进临床惰性的因素达成共识。
本研究采用观察性设计，使用德尔菲技术作为正式的共识方法。一个由 50 名医生组成的小组参与了这项研究。进行了两轮德尔菲调查，以就他们认为促进临床惰性的一系列因素达成共识。
大多数（86%）的小组成员认为在治疗血脂异常患者时普遍存在临床惰性。在最初纳入问卷的 40 个因素中，有 21 个（52.5%）与医生相关的因素、10 个（25.0%）与患者相关的因素和 5 个（12.5%）与办公室和医疗保健系统相关的因素在第一轮和第二轮德尔菲调查中达成共识，这些因素被认为是促进临床惰性的因素。
本研究从经常为血脂异常患者提供医疗服务的医生的角度强调了管理血脂异常中促进临床惰性的因素。
由经常为这些患者提供医疗服务的医生小组就与医生、患者和医疗保健系统相关的促进血脂异常患者临床惰性的因素达成共识。仍需要进一步研究以设计策略来消除或减少在照顾血脂异常患者方面的临床惰性现象，并改善患者的预后。
