Influence of novel oral anticoagulants on anticoagulation care management

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 st...

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Main Authors: Janzic Andrej, Kos Mitja
Format: Article
Language:English
Published: Sciendo 2017-09-01
Series:Acta Pharmaceutica
Subjects:
Online Access:https://doi.org/10.1515/acph-2017-0030
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author Janzic Andrej
Kos Mitja
author_facet Janzic Andrej
Kos Mitja
author_sort Janzic Andrej
collection DOAJ
description 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.
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issn 1846-9558
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publishDate 2017-09-01
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series Acta Pharmaceutica
spelling doaj-art-44fb38f42e1a4b5bb48ce3763a9acb442025-02-02T00:31:54ZengSciendoActa Pharmaceutica1846-95582017-09-0167339740610.1515/acph-2017-0030acph-2017-0030Influence of novel oral anticoagulants on anticoagulation care managementJanzic Andrej0Kos Mitja1University of Ljubljana, Faculty of Pharmacy, 1000Ljubljana, SloveniaUniversity of Ljubljana, Faculty of Pharmacy, 1000Ljubljana, SloveniaAnticoagulation 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.https://doi.org/10.1515/acph-2017-0030novel oral anticoagulantshealth care managementanticoagulation care
spellingShingle Janzic Andrej
Kos Mitja
Influence of novel oral anticoagulants on anticoagulation care management
Acta Pharmaceutica
novel oral anticoagulants
health care management
anticoagulation care
title Influence of novel oral anticoagulants on anticoagulation care management
title_full Influence of novel oral anticoagulants on anticoagulation care management
title_fullStr Influence of novel oral anticoagulants on anticoagulation care management
title_full_unstemmed Influence of novel oral anticoagulants on anticoagulation care management
title_short Influence of novel oral anticoagulants on anticoagulation care management
title_sort influence of novel oral anticoagulants on anticoagulation care management
topic novel oral anticoagulants
health care management
anticoagulation care
url https://doi.org/10.1515/acph-2017-0030
work_keys_str_mv AT janzicandrej influenceofnoveloralanticoagulantsonanticoagulationcaremanagement
AT kosmitja influenceofnoveloralanticoagulantsonanticoagulationcaremanagement