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Therapeutic inertia : ウィキペディア英語版
Therapeutic inertia
Therapeutic inertia (also known as clinical inertia) is a measurement of the resistance to therapeutic treatment for an existing medical condition. It is commonly measured as a percentage of the number of encounters in which a patient with a condition received new or increased therapeutic treatment out of the total number of visits to a health care professional by the patient. A high percentage indicates that the health care provider is slow to treat a medical condition. A low percentage indicates that a provider is extremely quick in prescribing new treatment at the onset of any medical condition.
==Calculation==
There are two common methods used in calculating therapeutic inertia. For the following examples, consider that a patient has five visits with a health provider. In four of those visits, a condition is not controlled (such as high blood pressure or high cholesterol). In two of those visits, the provider made a change to the patient's treatment for the condition.
In Dr. Okonofua's original paper, this patient's therapeutic inertia is calculated as \frac - \frac where ''h'' is the number of visits with an uncontrolled condition, ''c'' is the number of visits in which a change was made, and ''v'' is the total number of visits. Therefore, the patient's therapeutic inertia is \frac - \frac = 0.4 = 40\%.
An alternative, which avoids consideration of visits where the condition was already controlled and the provider should not be expected to make a treatment change, is 1 - \frac. Using the above example, there are 2 changes and 4 visits with an uncontrolled condition. The therapeutic inertia is 1 - \frac = 0.5 = 50\%.

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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