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Fed Pract. 2008;25(11):21-27.

Does Clinical Inertia Vary According to Provider Type?

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Dr. Federman is a staff physician in the department of medicine, Ms. Gordon is a biostatistician with the Veterans Aging Cohort Study (VACS), Dr. Goulet is the director of the biostatistics core for the VACS, Ms. Kancir is a registered nurse in the department of quality management, Mr. Levin is an information technology consultant for the VACS, Dr. Fultz is a senior medical advisor for the VA Office of Public Health and Scientific Hazards, and Dr. Justice is the section chief of general internal medicine; all at the VA Connecticut Health Care System, West Haven, CT. In addition, Dr. Federman is a professor of medicine, Mr. Goulet is an associate research scientist, and Dr. Justice is an associate professor of medicine, all in the department of internal medicine at Yale University School of Medicine, New Haven, CT.


Despite the well established risks of persistently elevated blood pressure, as well as the benefits of controlling such elevations, hypertension remains underdiagnosed and undertreated. These VA researchers compared the rates of antihypertensive medication intensification between resident physicians, midlevel practitioners, and attending physicians.


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