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Patient Self-Management of Anticoagulation: An Idea Whose Time Has Come

Rebecca J. Beyth, MD, MSc
[+] Article and Author Information

From Baylor College of Medicine and Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX 77030.


Potential Financial Conflicts of Interest: None disclosed.

Requests for Single Reprints: Rebecca J. Beyth, MD, MSc, Michael E. DeBakey Veterans Affairs Medical Center, 2002 Holcombe Boulevard, Houston, TX 77030; e-mail, RebeccaJ.Beyth@med.va.gov.


Ann Intern Med. 2005;142(1):73-74. doi:10.7326/0003-4819-142-1-200501040-00014
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As the indications for the use of oral vitamin K antagonists in the treatment and prophylaxis of thromboembolic disorders increase, thromboembolic disorders are increasingly being recognized as chronic conditions in which high-quality chronic care management is essential for maximizing the net benefit of therapy (1). As envisioned in the chronic care model, optimal chronic care occurs when a “prepared proactive practice team interacts with an informed activated patient” (2). Inherent in this model is the concept of the patient–professional partnership as a new paradigm in which patients with chronic conditions, such as thromboembolic disorders, are their own caregivers and health care professionals are consultants supporting them in this role (3).

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