Source:http://linkedlifedata.com/resource/pubmed/id/15767240
Switch to
| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
2
|
| pubmed:dateCreated |
2005-3-15
|
| pubmed:abstractText |
Oral anticoagulation with warfarin requires routine monitoring of prothrombin time, expressed as the international normalized ratio (INR). Patient self-testing for INR is common in Europe but not in the United States. In order to determine the frequency of INR self-testing among patients whose anticoagulant therapy is managed in U.S. anticoagulation clinics, to describe the processes that support this self-testing, and to identify the barriers as experienced by anticoagulation clinic providers, a three-part survey was mailed to 538 anticoagulation specialists in the United States. The response rate was 43.7%. Policies and procedures of almost 60% of anticoagulation clinics prohibited INR self-testing for enrolled patients. In addition, less than 1% of patients being managed by U.S. anticoagulation clinics use self-testing to obtain INR results. Primary barriers were the cost of self-testing instruments (78.7% of respondents), cost of reagent cartridges (60.4%), and fear that self-testing might lead to unintended self-management (35.7%). Over 75% of respondents believed that some reimbursement for the cost of self-testing devices and supplies would increase the likelihood that anticoagulation clinics would recommend INR self-testing.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:chemical | |
| pubmed:status |
MEDLINE
|
| pubmed:month |
Feb
|
| pubmed:issn |
0277-0008
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
25
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
265-9
|
| pubmed:meshHeading |
pubmed-meshheading:15767240-Ambulatory Care Facilities,
pubmed-meshheading:15767240-Anticoagulants,
pubmed-meshheading:15767240-Humans,
pubmed-meshheading:15767240-International Normalized Ratio,
pubmed-meshheading:15767240-Point-of-Care Systems,
pubmed-meshheading:15767240-Prothrombin Time,
pubmed-meshheading:15767240-Questionnaires,
pubmed-meshheading:15767240-Self Care,
pubmed-meshheading:15767240-United States,
pubmed-meshheading:15767240-Warfarin
|
| pubmed:year |
2005
|
| pubmed:articleTitle |
Barriers to patient self-testing of prothrombin time: national survey of anticoagulation practitioners.
|
| pubmed:affiliation |
School of Pharmacy, University of Washington, Seattle, Washington, USA. akwitt@u.washington.edu
|
| pubmed:publicationType |
Journal Article
|