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- Title
Addressing Therapeutic Inertia in 2020 and Beyond: A 3-Year Initiative of the American Diabetes Association.
- Authors
Gabbay, Robert A.; Kendall, Debbie; Beebe, Christine; Cuddeback, John; Hobbs, Todd; Khan, Naeem D.; Leal, Sandra; Miller, Eden; Novak, Lucia M.; Rajpathak, Swapnil N.; Scribner, Paul; Meneghini, Luigi; Khunti, Kamlesh
- Abstract
Research has shown that getting to glycemic targets early on leads to better outcomes in people with type 2 diabetes; yet, there has been no improvement in the attainment of A1C targets in the past decade. One reason is therapeutic inertia: the lack of timely adjustment to the treatment regimen when a person's therapeutic targets are not met. This article describes the scope and priorities of the American Diabetes Association's 3-year Overcoming Therapeutic Inertia Initiative. Its planned activities include publishing a systematic review and meta-analysis of approaches to reducing therapeutic inertia, developing a registry of effective strategies, launching clinician awareness and education campaigns, leveraging electronic health record and clinical decision-support tools, influencing payer policies, and potentially executing pragmatic research to test promising interventions.
- Subjects
AMERICAN Diabetes Association; DECISION support systems; INFORMATION storage &; retrieval systems; MEDICAL databases; HEALTH insurance; TYPE 2 diabetes; PATIENT compliance; POLICY sciences; TREATMENT effectiveness; ELECTRONIC health records; GLYCEMIC control
- Publication
Clinical Diabetes, 2020, Vol 38, Issue 4, p371
- ISSN
0891-8929
- Publication type
Article
- DOI
10.2337/cd20-0053