Optimising Medication Management and Use of Antithrombotic Agents

A special issue of Pharmacy (ISSN 2226-4787). This special issue belongs to the section "Pharmacy Practice and Practice-Based Research".

Deadline for manuscript submissions: closed (1 January 2024) | Viewed by 1808

Special Issue Editor


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Guest Editor
Curtin Medical School, Curtin University, Perth, WA 6102, Australia
Interests: optimising outcomes of antithrombotic agents; stroke prevention in atrial fibrillation; quality use of medicines; medication-related services along the continuum of care
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Special Issue Information

Dear Colleagues,

The suboptimal use of antithrombotic agents, including under-prescribing where antithrombotic therapy is clinically indicated, remains a major cause of medication-related harm, hospital admissions and mortality. Contemporary guidelines have highlighted the importance of an integrated, multidisciplinary and patient-centered approach to optimise patient outcomes across a range of disease states where antithrombotic agents are indicated. Pharmacists play a number of vital roles within these multidisciplinary teams, from promoting evidence-informed prescribing (and deprescribing where warranted) and facilitating patient monitoring and medication management review to providing adherence support and educating patients to allow active engagement in shared decision-making and self-management. In the past three years, the COVID-19 pandemic has created enormous challenges in healthcare worldwide, but these challenges have created new opportunities for pharmacists to contribute to medication management in innovative ways and across a variety of settings. I look forward to receiving your submissions describing how pharmacists can contribute to optimising medication management in the use of antithrombotic agents in this evolving world of healthcare.

I therefore invite you to submit original research articles, reviews or case reports for this Special Issue on optimising medication management in the use of antithrombotic agents.

Dr. Leanne Chalmers
Guest Editor

Manuscript Submission Information

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Keywords

  • antithrombotic agents
  • pharmacist
  • evidence-informed practice
  • medication management
  • patient education
  • quality improvement

Published Papers (1 paper)

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Research

13 pages, 733 KiB  
Article
Patients’ Perspectives on Commencing Oral Anticoagulants in Atrial Fibrillation: An Exploratory Qualitative Descriptive Study
by Eyob Alemayehu Gebreyohannes, Sandra M. Salter, Leanne Chalmers, Jan Radford, Kenneth Lee and Danielle D’Lima
Pharmacy 2023, 11(5), 153; https://doi.org/10.3390/pharmacy11050153 - 23 Sep 2023
Viewed by 1449
Abstract
Background: Oral anticoagulants (OACs) are prescribed to patients with atrial fibrillation (AF) in order to lower stroke risk. However, patient refusal to commence OACs hinders effective anticoagulation. This study aimed to explore barriers and facilitators to patient agreement to commence OACs from the [...] Read more.
Background: Oral anticoagulants (OACs) are prescribed to patients with atrial fibrillation (AF) in order to lower stroke risk. However, patient refusal to commence OACs hinders effective anticoagulation. This study aimed to explore barriers and facilitators to patient agreement to commence OACs from the perspectives of patients with AF attending Australian general practices. Methods: A qualitative descriptive study utilising semi-structured individual interviews was conducted from March to July 2022. Results: Ten patients (60% male, median age = 78.5 years) completed interviews. Patients’ passive roles in decision-making were identified as a facilitator. Other prominent facilitators included doctors explaining adequately and aligning their recommendations with patients’ overall health goals, including the prevention of stroke and associated disabilities, and a clear understanding of the pros and cons of taking OACs. Reportedly insufficient explanation from doctors and the inconvenience associated with taking warfarin were identified as potential barriers. Conclusion: Addressing factors that influence patient agreement to commence OACs should be an essential aspect of quality improvement interventions. Subsequent studies should also delve into the perspectives of eligible patients with AF who choose not to commence OACs as well as the perspectives of both patients and doctors regarding the decision to continue OAC treatment. Full article
(This article belongs to the Special Issue Optimising Medication Management and Use of Antithrombotic Agents)
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