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abstractStarting in 2003, a small group of GPs tested the feasibility of monitoring oral anticoagulant therapy
(OAT) in their own surgeries. Having taken a blood sample from the patient’s thumb, the doctor measures the INR using a portable device. Then, through his own computer he links up to the software of the haemostasis centre where the patient’s data is kept. Here, using the same means as his specialist colleagues, he processes the result, which is printed and given to the patient. All this takes around 15 minutes; for patients, there is the convenience of sitting comfortably in their own GP’s surgery. There are currently 30 doctors operating as described above, and another 30 are to begin shortly. The ambitious goal is to get most of the doctors in the province of Parma involved in the project. This will be achieved partly through the spread of group medicine, which requires a nurse to be present in the group practice. Precisely because the computer plays an important role in managing OAT from the doctor’s surgery, it is thought that the IT tool could also be used for training those doctors who are interested. |
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