Self-managed oral anticoagulation therapy

Marasinghe, Jeevan P.; Amarasinghe, A.A.W.

doi:10.1503/cmaj.1060152

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…However, this study has demonstrated several reasons why there are likely to be continuing debates about the cost effectiveness of self-testing of oral coagulations. The issues of selecting and training patients as well as maintaining devices are critical [ 2 , 49 ]. Personal as well as social factors are similarly important, and what stands out from the data is that the notion of an entirely self-contained process of self-testing, where contact with manufacturers or healthcare system is minimal, is unlikely to materialise.…”

Section: Discussionmentioning

confidence: 99%

Patients' perspectives on self-testing of oral anticoagulation therapy: Content analysis of patients' internet blogs

Shah

Robinson

2011

BMC Health Serv Res

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BackgroundPatients on oral anticoagulant therapy (OAT) require regular testing of the prothrombin time (PT) and the international normalised ratio (INR) to monitor their blood coagulation level to avoid complications of either over or under coagulation. PT/INR can be tested by a healthcare professional or by the patient. The latter mode of the testing is known as patient self-testing or home testing. The objective of this study was to elicit patients' perspectives and experiences regarding PT/INR self-testing using portable coagulometer devices.MethodsInternet blog text mining was used to collect 246 blog postings by 108 patients, mainly from the USA and the UK. The content of these qualitative data were analysed using XSight and NVivo software packages.ResultsThe key themes in relation to self-testing of OAT identified were as follows: Patient benefits reported were time saved, personal control, choice, travel reduction, cheaper testing, and peace of mind. Equipment issues included high costs, reliability, quality, and learning how to use the device. PT/INR issues focused on the frequency of testing, INR fluctuations and individual target (therapeutic) INR level. Other themes noted were INR testing at laboratories, the interactions with healthcare professionals in managing and testing OAT and insurance companies' involvement in acquiring the self-testing equipment. Social issues included the pain and stress of taking and testing for OAT.ConclusionsPatients' blogs on PT/INR testing provide insightful information that can help in understanding the nature of the experiences and perspectives of patients on self-testing of OAT. The themes identified in this paper highlight the substantial complexities involved in self-testing programmes in the healthcare system. Thus, the issues elicited in this study are very valuable for all stakeholders involved in developing effective self-testing strategies in healthcare that are gaining considerable current momentum particularly for patients with chronic illness.

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Section: Discussionmentioning

confidence: 99%

Patients' perspectives on self-testing of oral anticoagulation therapy: Content analysis of patients' internet blogs

Shah

Robinson

2011

BMC Health Serv Res

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“…For example, studies have reported that OAT STM is less cost‐effective than clinic‐based OAT, although there are other existing studies that suggest the opposite . The cost‐effectiveness of OAT STM has been challenged based on the cost of both selecting and training patients and maintaining devices . The OAT STM model is also criticised for only being suitable for a minority of patients, and it has been suggested that there is a need for further research into both health economic and clinical outcomes in the UK .…”

Section: Background: Oral Anticoagulation Self‐testing and Managementmentioning

confidence: 99%

Technology‐assisted self‐testing and management of oral anticoagulation therapy: a qualitative patient‐focused study

Kuljis

Money

Perry

et al. 2016

Scandinavian Caring Sciences

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Self-managed oral anticoagulation therapy

Cited by 2 publications

References 4 publications

Patients' perspectives on self-testing of oral anticoagulation therapy: Content analysis of patients' internet blogs

Patients' perspectives on self-testing of oral anticoagulation therapy: Content analysis of patients' internet blogs

Technology‐assisted self‐testing and management of oral anticoagulation therapy: a qualitative patient‐focused study

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