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Patients' perspectives on self-testing of oral anticoagulation therapy: Content analysis of patients' internet blogs.(Research article)(Report)

Background Patients on oral anticoagulant therapy (OAT) require regular testing of the prothrombin time (PT) and the international normalised ratio (INR) to monitor their blood coagulation level to avoid complications of either over or under coagulation. PT/INR can be tested by a healthcare professi... Full description

Journal Title: BMC Health Services Research Feb 3, 2011, Vol.11, p.25
Main Author: Shah, Syed Ghulam Sarwar
Other Authors: Robinson, Ian
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Cengage Learning, Inc.
ID: ISSN: 1472-6963
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recordid: gale_ofa250166550
title: Patients' perspectives on self-testing of oral anticoagulation therapy: Content analysis of patients' internet blogs.(Research article)(Report)
format: Article
creator:
  • Shah, Syed Ghulam Sarwar
  • Robinson, Ian
subjects:
  • Blogs -- Social Aspects
  • Blogs -- Health Aspects
  • Thrombin -- Social Aspects
  • Thrombin -- Health Aspects
  • Social Networks -- Social Aspects
  • Social Networks -- Health Aspects
  • Medical Research -- Social Aspects
  • Medical Research -- Health Aspects
  • Prothrombin -- Social Aspects
  • Prothrombin -- Health Aspects
  • Data Mining -- Social Aspects
  • Data Mining -- Health Aspects
  • Internet -- Social Aspects
  • Internet -- Health Aspects
  • Insurance Industry -- Social Aspects
  • Insurance Industry -- Health Aspects
  • Blood Tests -- Social Aspects
  • Blood Tests -- Health Aspects
  • Anticoagulants -- Social Aspects
  • Anticoagulants -- Health Aspects
  • Physical Therapy Equipment -- Social Aspects
  • Physical Therapy Equipment -- Health Aspects
ispartof: BMC Health Services Research, Feb 3, 2011, Vol.11, p.25
description: Background Patients on oral anticoagulant therapy (OAT) require regular testing of the prothrombin time (PT) and the international normalised ratio (INR) to monitor their blood coagulation level to avoid complications of either over or under coagulation. PT/INR can be tested by a healthcare professional or by the patient. The latter mode of the testing is known as patient self-testing or home testing. The objective of this study was to elicit patients' perspectives and experiences regarding PT/INR self-testing using portable coagulometer devices. Methods Internet blog text mining was used to collect 246 blog postings by 108 patients, mainly from the USA and the UK. The content of these qualitative data were analysed using XSight and NVivo software packages. Results The key themes in relation to self-testing of OAT identified were as follows: Patient benefits reported were time saved, personal control, choice, travel reduction, cheaper testing, and peace of mind. Equipment issues included high costs, reliability, quality, and learning how to use the device. PT/INR issues focused on the frequency of testing, INR fluctuations and individual target (therapeutic) INR level. Other themes noted were INR testing at laboratories, the interactions with healthcare professionals in managing and testing OAT and insurance companies' involvement in acquiring the self-testing equipment. Social issues included the pain and stress of taking and testing for OAT. Conclusions Patients' blogs on PT/INR testing provide insightful information that can help in understanding the nature of the experiences and perspectives of patients on self-testing of OAT. The themes identified in this paper highlight the substantial complexities involved in self-testing programmes in the healthcare system. Thus, the issues elicited in this study are very valuable for all stakeholders involved in developing effective self-testing strategies in healthcare that are gaining considerable current momentum particularly for patients with chronic illness.
language: English
source: Cengage Learning, Inc.
identifier: ISSN: 1472-6963
fulltext: fulltext
issn:
  • 1472-6963
  • 14726963
url: Link


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titlePatients' perspectives on self-testing of oral anticoagulation therapy: Content analysis of patients' internet blogs.(Research article)(Report)
creatorShah, Syed Ghulam Sarwar ; Robinson, Ian
ispartofBMC Health Services Research, Feb 3, 2011, Vol.11, p.25
identifierISSN: 1472-6963
subjectBlogs -- Social Aspects ; Blogs -- Health Aspects ; Thrombin -- Social Aspects ; Thrombin -- Health Aspects ; Social Networks -- Social Aspects ; Social Networks -- Health Aspects ; Medical Research -- Social Aspects ; Medical Research -- Health Aspects ; Prothrombin -- Social Aspects ; Prothrombin -- Health Aspects ; Data Mining -- Social Aspects ; Data Mining -- Health Aspects ; Internet -- Social Aspects ; Internet -- Health Aspects ; Insurance Industry -- Social Aspects ; Insurance Industry -- Health Aspects ; Blood Tests -- Social Aspects ; Blood Tests -- Health Aspects ; Anticoagulants -- Social Aspects ; Anticoagulants -- Health Aspects ; Physical Therapy Equipment -- Social Aspects ; Physical Therapy Equipment -- Health Aspects
descriptionBackground Patients on oral anticoagulant therapy (OAT) require regular testing of the prothrombin time (PT) and the international normalised ratio (INR) to monitor their blood coagulation level to avoid complications of either over or under coagulation. PT/INR can be tested by a healthcare professional or by the patient. The latter mode of the testing is known as patient self-testing or home testing. The objective of this study was to elicit patients' perspectives and experiences regarding PT/INR self-testing using portable coagulometer devices. Methods Internet blog text mining was used to collect 246 blog postings by 108 patients, mainly from the USA and the UK. The content of these qualitative data were analysed using XSight and NVivo software packages. Results The key themes in relation to self-testing of OAT identified were as follows: Patient benefits reported were time saved, personal control, choice, travel reduction, cheaper testing, and peace of mind. Equipment issues included high costs, reliability, quality, and learning how to use the device. PT/INR issues focused on the frequency of testing, INR fluctuations and individual target (therapeutic) INR level. Other themes noted were INR testing at laboratories, the interactions with healthcare professionals in managing and testing OAT and insurance companies' involvement in acquiring the self-testing equipment. Social issues included the pain and stress of taking and testing for OAT. Conclusions Patients' blogs on PT/INR testing provide insightful information that can help in understanding the nature of the experiences and perspectives of patients on self-testing of OAT. The themes identified in this paper highlight the substantial complexities involved in self-testing programmes in the healthcare system. Thus, the issues elicited in this study are very valuable for all stakeholders involved in developing effective self-testing strategies in healthcare that are gaining considerable current momentum particularly for patients with chronic illness.
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titlePatients' perspectives on self-testing of oral anticoagulation therapy: Content analysis of patients' internet blogs.(Research article)(Report)
descriptionBackground Patients on oral anticoagulant therapy (OAT) require regular testing of the prothrombin time (PT) and the international normalised ratio (INR) to monitor their blood coagulation level to avoid complications of either over or under coagulation. PT/INR can be tested by a healthcare professional or by the patient. The latter mode of the testing is known as patient self-testing or home testing. The objective of this study was to elicit patients' perspectives and experiences regarding PT/INR self-testing using portable coagulometer devices. Methods Internet blog text mining was used to collect 246 blog postings by 108 patients, mainly from the USA and the UK. The content of these qualitative data were analysed using XSight and NVivo software packages. Results The key themes in relation to self-testing of OAT identified were as follows: Patient benefits reported were time saved, personal control, choice, travel reduction, cheaper testing, and peace of mind. Equipment issues included high costs, reliability, quality, and learning how to use the device. PT/INR issues focused on the frequency of testing, INR fluctuations and individual target (therapeutic) INR level. Other themes noted were INR testing at laboratories, the interactions with healthcare professionals in managing and testing OAT and insurance companies' involvement in acquiring the self-testing equipment. Social issues included the pain and stress of taking and testing for OAT. Conclusions Patients' blogs on PT/INR testing provide insightful information that can help in understanding the nature of the experiences and perspectives of patients on self-testing of OAT. The themes identified in this paper highlight the substantial complexities involved in self-testing programmes in the healthcare system. Thus, the issues elicited in this study are very valuable for all stakeholders involved in developing effective self-testing strategies in healthcare that are gaining considerable current momentum particularly for patients with chronic illness.
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abstractBackground Patients on oral anticoagulant therapy (OAT) require regular testing of the prothrombin time (PT) and the international normalised ratio (INR) to monitor their blood coagulation level to avoid complications of either over or under coagulation. PT/INR can be tested by a healthcare professional or by the patient. The latter mode of the testing is known as patient self-testing or home testing. The objective of this study was to elicit patients' perspectives and experiences regarding PT/INR self-testing using portable coagulometer devices. Methods Internet blog text mining was used to collect 246 blog postings by 108 patients, mainly from the USA and the UK. The content of these qualitative data were analysed using XSight and NVivo software packages. Results The key themes in relation to self-testing of OAT identified were as follows: Patient benefits reported were time saved, personal control, choice, travel reduction, cheaper testing, and peace of mind. Equipment issues included high costs, reliability, quality, and learning how to use the device. PT/INR issues focused on the frequency of testing, INR fluctuations and individual target (therapeutic) INR level. Other themes noted were INR testing at laboratories, the interactions with healthcare professionals in managing and testing OAT and insurance companies' involvement in acquiring the self-testing equipment. Social issues included the pain and stress of taking and testing for OAT. Conclusions Patients' blogs on PT/INR testing provide insightful information that can help in understanding the nature of the experiences and perspectives of patients on self-testing of OAT. The themes identified in this paper highlight the substantial complexities involved in self-testing programmes in the healthcare system. Thus, the issues elicited in this study are very valuable for all stakeholders involved in developing effective self-testing strategies in healthcare that are gaining considerable current momentum particularly for patients with chronic illness.
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