Influence of novel oral anticoagulants on anticoagulation care management
Autor: | Andrej Janzic, Mitja Kos |
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Rok vydání: | 2017 |
Předmět: |
Male
medicine.medical_specialty Slovenia Population Administration Oral Pharmaceutical Science Pharmacy 030204 cardiovascular system & hematology Drug Costs Anticoagulation Treatment Health care management novel oral anticoagulants 03 medical and health sciences 0302 clinical medicine Health care medicine Humans health care management 030212 general & internal medicine Practice Patterns Physicians' Medical prescription Intensive care medicine education Blood Coagulation Pharmaceutical industry Aged Pharmacology education.field_of_study business.industry Anticoagulants Disease Management General Medicine Female HD9665-9675 business anticoagulation care |
Zdroj: | Acta Pharmaceutica Volume 67 Issue 3 Acta Pharmaceutica, Vol 67, Iss 3, Pp 397-406 (2017) |
ISSN: | 1846-9558 1330-0075 |
DOI: | 10.1515/acph-2017-0030 |
Popis: | Anticoagulation treatment was recently improved by the introduction of novel oral anticoagulants (NOACs). Using a combination of qualitative and quantitative methods, this study explores the effects of the introduction of NOACs on anticoagulation care in Slovenia. Face-to-face interviews with key stakeholders revealed evolvement and challenges of anticoagulation care from different perspectives. Obtained information was further explored through the analysis of nationwide data of drug prescriptions and realization of health care services. Simplified management of anticoagulation treatment with NOACs and their high penetration expanded the capacity of anticoagulation clinics, and consequentially the treated population increased by more than 50 % in the last 5 years. The main challenge concerned the expenditures for medicines, which increased approximately 10 times in just a few years. At the same time, the anticoagulation clinics and their core organisation were not affected, which is not expected to change, since they are vital in delivering high-quality care. |
Databáze: | OpenAIRE |
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