Abstract
More than six million patients worldwide are being treated with an oral anticoagulant. Dosing of the anticoagulant is usually managed by a primary care physician, cardiologist, or a specialized anticoagulation clinic. With the introduction of point-of-care testing devices, it is possible for patients to monitor their coagulation time, the international normalized ratio, at home. Selected patients, when properly trained, are capable of managing their oral anticoagulation treatment from home, so-called patient self-management (PSM). PSM has been practiced for many years in Europe, where training centers and reimbursement are well established. Because the US Center for Medicare and Medicaid Services recently decided to cover PSM, the practice will likely become more common in the United States. This article reviews the evidence behind the efficacy, safety, and cost effectiveness of PSM.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 368-374 |
| Number of pages | 7 |
| Journal | Current hematology reports. |
| Volume | 3 |
| Issue number | 5 |
| State | Published - Sep 2004 |
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ASJC Scopus subject areas
- Hematology
Cite this
Patient self-management of oral anticoagulation. / Fancher, Tonya L; White, Richard H.
In: Current hematology reports., Vol. 3, No. 5, 09.2004, p. 368-374.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Patient self-management of oral anticoagulation.
AU - Fancher, Tonya L
AU - White, Richard H
PY - 2004/9
Y1 - 2004/9
N2 - More than six million patients worldwide are being treated with an oral anticoagulant. Dosing of the anticoagulant is usually managed by a primary care physician, cardiologist, or a specialized anticoagulation clinic. With the introduction of point-of-care testing devices, it is possible for patients to monitor their coagulation time, the international normalized ratio, at home. Selected patients, when properly trained, are capable of managing their oral anticoagulation treatment from home, so-called patient self-management (PSM). PSM has been practiced for many years in Europe, where training centers and reimbursement are well established. Because the US Center for Medicare and Medicaid Services recently decided to cover PSM, the practice will likely become more common in the United States. This article reviews the evidence behind the efficacy, safety, and cost effectiveness of PSM.
AB - More than six million patients worldwide are being treated with an oral anticoagulant. Dosing of the anticoagulant is usually managed by a primary care physician, cardiologist, or a specialized anticoagulation clinic. With the introduction of point-of-care testing devices, it is possible for patients to monitor their coagulation time, the international normalized ratio, at home. Selected patients, when properly trained, are capable of managing their oral anticoagulation treatment from home, so-called patient self-management (PSM). PSM has been practiced for many years in Europe, where training centers and reimbursement are well established. Because the US Center for Medicare and Medicaid Services recently decided to cover PSM, the practice will likely become more common in the United States. This article reviews the evidence behind the efficacy, safety, and cost effectiveness of PSM.
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UR - http://www.scopus.com/inward/citedby.url?scp=33745570918&partnerID=8YFLogxK
M3 - Article
VL - 3
SP - 368
EP - 374
JO - Current hematology reports
JF - Current hematology reports
SN - 1540-3408
IS - 5
ER -