Resource consumption and management associated with monitoring of warfarin treatment in primary health care in Sweden
2006

Resource Consumption in Monitoring Warfarin Treatment in Sweden

Sample size: 106 publication Evidence: moderate

Author Information

Author(s): Andersson Stina, Björholt Ingela, Nilsson Gunnar H, Krakau Ingvar

Primary Institution: AstraZeneca Sverige AB

Hypothesis

What are the management and resource consumption associated with INR monitoring episodes during warfarin treatment in primary health care in Sweden?

Conclusion

Monitoring of patients during treatment with warfarin in primary health care in Sweden involves many elements of work and demands large resources, especially when tests are taken in the patient's home.

Supporting Evidence

  • Average time for one monitoring episode was estimated to be 10.1 minutes for a GP and 21.4 minutes for a nurse.
  • 11.6% of patient blood samples were taken in the individual patient's home.
  • Total average time for all participating GPs was 15.4 minutes.

Takeaway

Doctors and nurses spend a lot of time checking patients on warfarin, especially when they have to go to the patients' homes.

Methodology

The Delphi technique was used to explore attitudes and collect informed judgments related to monitoring of warfarin treatment through two separate panels.

Limitations

The study only captured the time spent by GPs and nurses, excluding other personnel like laboratory staff.

Participant Demographics

Participants included general practitioners and nurses from primary health care centers in Sweden.

Statistical Information

Confidence Interval

95% CI

Digital Object Identifier (DOI)

10.1186/1471-2296-7-67

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