Compared with standard monitoring, how effective are selfmonitoring and self-management of oral anticoagulant therapy?
Self-monitoring or self-management was not feasible for up to half of the patients requiring anticoagulant therapy. Reasons included patient refusal, exclusion by their GP, and inability to complete training.
The introduction of portable monitors (point-of-care devices) for the management of patients on oral anticoagulation therapy allows self-testing by the patient at home. Patients who self-test can either adjust their medication according to a predetermined dose-INR schedule (self-management) or they can call a clinic to be told the appropriate dose adjustment (self-monitoring).