The Disconnect Between Novel Oral Anticoagulant Eligibility and Provincial Drug Coverage: An Albertan Anticoagulation Clinic Audit
| Autor: | M. Sean McMurtry, Sandeep K. Dhillon, Tammy J. Bungard |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Drug
medicine.medical_specialty media_common.quotation_subject Administration Oral Eligibility Determination Audit Alberta Atrial Fibrillation medicine Humans Intensive care medicine Stroke Retrospective Studies media_common Clinical Audit business.industry Warfarin Anticoagulants Atrial fibrillation medicine.disease Stroke prevention Oral anticoagulant Cardiology and Cardiovascular Medicine business Anticoagulation clinic Follow-Up Studies medicine.drug |
| Zdroj: | Canadian Journal of Cardiology. 31:1047-1050 |
| ISSN: | 0828-282X |
| Popis: | Canadian practice guidelines for nonvalvular atrial fibrillation (NVAF) recommend that most patients receive a novel oral anticoagulant (NOAC) in preference to warfarin to prevent stroke, but not all patients have insurance that covers NOACs. The gap between optimal therapy and drug coverage is unknown. We retrospectively assessed eligibility for NOACs in patients with NVAF at our single-centre anticoagulation clinic and ascertained whether provincial drug coverage would be in place. Most patients (89%-95%) were eligible, but only 39%-41% qualified for drug coverage. Our findings suggest most Albertans with NVAF might not have drug coverage for optimal medical therapy for stroke prevention. |
| Databáze: | OpenAIRE |
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