Management of warfarin in atrial fibrillation: Views of health professionals, older patients and their carers

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Show simple item record Bajorek, BV Ogle, SJ Duguid, MJ Shenfield, GM Krass, I 2012-02-10T06:09:11Z 2007-02-19
dc.identifier.citation Medical Journal of Australia, 2007, 186 (4), pp. 175 - 180
dc.identifier.issn 0025-729X
dc.identifier.other C1UNSUBMIT en_US
dc.description.abstract Objective: To identify the views of health professionals, patients and their carers on strategies to improve the use and management of warfarin in older patients with atrial fibrillation. Design: Qualitative study based on analysis of group interviews. Setting: A major metropolitan teaching hospital, from 1 March to 30 April 2003. Participants: 14 patients (≥ 65 years) with established atrial fibrillation and taking warfarin, three carers, 12 specialists, eight general practitioners, six community pharmacists, nine hospital pharmacists, and 11 nurses volunteered in response to flyers promoting the study. Results: Suggested strategies to improve warfarin management targeted support services for GPs and patients. Hospital-based clinicians felt that dissemination of trial evidence to GPs to support treatment recommendations is required, and that GPs need to enlist allied health professionals in the management of patients taking warfarin. GPs preferred access to practical advice from expert colleagues on the day-to-day management. Patients requested more information about warfarin therapy, as access to information is inadequate, particularly from primary sources (GPs, community pharmacists). Verbal and written information are equally important, but a single counselling session or supply of a booklet was viewed as inadequate. Participants identified various interventions for all levels of warfarin management; from the collective input, a framework for management strategies was developed. Conclusions: Health professionals and patients require more customised information to support warfarin use and management.
dc.language eng
dc.title Management of warfarin in atrial fibrillation: Views of health professionals, older patients and their carers
dc.type Journal Article
dc.parent Medical Journal of Australia
dc.journal.volume 4
dc.journal.volume 186
dc.journal.number 4 en_US
dc.publocation Australia en_US
dc.identifier.startpage 175 en_US
dc.identifier.endpage 180 en_US GSH.Pharmacy en_US
dc.conference Verified OK en_US
dc.for 1115 Pharmacology and Pharmaceutical Sciences
dc.personcode 112624
dc.percentage 100 en_US Pharmacology and Pharmaceutical Sciences en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US en_US
dc.location.activity en_US
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Graduate School of Health
pubs.organisational-group /University of Technology Sydney/Strength - Health Services and Practice Research
utslib.copyright.status Open Access 2015-04-15 12:23:47.074767+10
pubs.consider-herdc false
utslib.collection.history General (ID: 2)
utslib.collection.history Uncategorised (ID: 363)

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