Implementation of SintromacWeb®, a new internet-based tool for oral anticoagulation therapy telecontrol: Study on system consistency and patient satisfaction
| Autor: | Maria Teresa Contreras, Cristina Aguado, José Antonio Aznar, Yolanda Mira, Fernando Ferrando |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Point-of-Care Systems MEDLINE Administration Oral Patient satisfaction Consistency (negotiation) Cronbach's alpha Internet based Surveys and Questionnaires Internal consistency Health care medicine Humans Telemetry International Normalized Ratio Oral anticoagulation Aged Aged 80 and over Internet Physician-Patient Relations business.industry Anticoagulants Hematology Middle Aged Evaluation Studies as Topic Patient Satisfaction Physical therapy Female business Software Follow-Up Studies |
| Zdroj: | Thrombosis and Haemostasis. 103:1091-1101 |
| ISSN: | 2567-689X 0340-6245 |
| DOI: | 10.1160/th09-07-0469 |
| Popis: | SummaryMost computer- or internet-assisted systems for oral anticoagulation therapy (OAT) telemanagement have limitations when it comes to implementation within a healthcare center. It was the objective of this study to evaluate convenience and patient satisfaction with the use of SintromacWeb→, a new OAT telecontrol system, compared with the conventional control. SintromacWeb® consists of a point-of-care device for patient international normalized ratio (INR) self-testing and software that allows internet mediated interaction with physicians. Patients initiated the use of SintromacWeb→ and were followed up during a three-month period. A score-based questionnaire was completed in three controlled visits, and data were subsequently analysed. A total of 102 patients were enrolled. At first visit, 55.7% of the patients had their INR within normal range, and 64.9% at the final visit. Internal consistency of the questionnaire was good (Cronbach‘s α: 0.79). Scores in the questionnaire were independent of patient’s age, education level, working status and INR value. The most valued features of SintromacWeb® were: fewer visits to the hospital, simplicity and convenience of the system, and time administration for control tasks (86.7%, 82.7% and 77.6% of very satisfied patients, respectively). Also, patients showed indifference or were dissatisfied with the conventional system. At the final visit, 99% of patients declared that they were satisfied with their OAT control. Moreover, all patients continued using Sintrom -acWeb→ after completion of the study. In conclusion, SintromacWeb→ telecontrol is a new model for management of anticoagulated patients. It was highly accepted and can be used by all patients regardless of their sociodemographic characteristics. |
| Databáze: | OpenAIRE |
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