- Joined
- Oct 5, 2013
- Messages
- 287
- Reaction score
- 43
I am not considered qualified for such positions. 
Still it doesn't seem like a good thing for overall demand.
Is any one familiar ? Is it old news or a potential new threat to the number of positions?
Still it doesn't seem like a good thing for overall demand. Is any one familiar ? Is it old news or a potential new threat to the number of positions?
Pharmacotherapy. 2013 Aug 22. doi: 10.1002/phar.1344. [Epub ahead of print]
Impact of a New Method of Warfarin Management on Patient Satisfaction, Time, and Cost.
Meyer S, Frei CR, Daniels KR, Forcade NA, Bussey M, Bussey-Smith KL, Bussey HI.
Source
College of Pharmacy, The University of Texas, Austin, Texas; The University of Texas Health Science Center, San Antonio, Texas.
Abstract
STUDY OBJECTIVE:
International normalized ratio self-testing with online remote monitoring and management (STORM2 ) is an alternative to anticoagulation clinic management, but the patient's perspective of this method has not been evaluated in the United States; thus we sought to evaluate the impact of STORM2 on patient satisfaction, time, and cost.
DESIGN:
Prospective pre- and postintervention study.
Impact of a New Method of Warfarin Management on Patient Satisfaction, Time, and Cost.
Meyer S, Frei CR, Daniels KR, Forcade NA, Bussey M, Bussey-Smith KL, Bussey HI.
Source
College of Pharmacy, The University of Texas, Austin, Texas; The University of Texas Health Science Center, San Antonio, Texas.
Abstract
STUDY OBJECTIVE:
International normalized ratio self-testing with online remote monitoring and management (STORM2 ) is an alternative to anticoagulation clinic management, but the patient's perspective of this method has not been evaluated in the United States; thus we sought to evaluate the impact of STORM2 on patient satisfaction, time, and cost.
DESIGN:
Prospective pre- and postintervention study.
SETTING:
Freestanding clinical research center.
PATIENTS:
Forty-three patients treated with long-term warfarin therapy and monitored initially in the anticoagulation clinic setting and then with STORM2 , referred from 11 medical practices.
INTERVENTION:
Patients were asked to complete a survey and the Duke Anticoagulation Satisfaction Scale (DASS) before (at baseline) and after at least 3 months of STORM2 (at follow-up).
MEASUREMENTS AND MAIN RESULTS:
Patient satisfaction and time were assessed by survey and the DASS. Costs were measured from the patient's perspective. Overall 90% of responders preferred STORM2 to traditional clinic management. The DASS questions indicated that patients were more satisfied with their anticoagulation treatment and more likely to recommend oral anticoagulation to a friend after experiencing STORM2 . In addition, patients found STORM2 to be less complicated and more convenient than traditional clinic management. For each traditional monthly visit, patients drove 20 miles and expended a total of 1.8 hours; using 55¢/mile for mileage reimbursement and $15/hour for lost wages, the cost for each visit was $38. The total cost for four STORM2 visits per month was $10, for a net savings of $28 per patient per month. A total of 76% of patients were willing to pay additional money to eliminate a monthly clinic visit.
CONCLUSION:
STORM2 is more convenient, less complicated, preferred by patients, and saves patients time and money compared with clinic management.
Freestanding clinical research center.
PATIENTS:
Forty-three patients treated with long-term warfarin therapy and monitored initially in the anticoagulation clinic setting and then with STORM2 , referred from 11 medical practices.
INTERVENTION:
Patients were asked to complete a survey and the Duke Anticoagulation Satisfaction Scale (DASS) before (at baseline) and after at least 3 months of STORM2 (at follow-up).
MEASUREMENTS AND MAIN RESULTS:
Patient satisfaction and time were assessed by survey and the DASS. Costs were measured from the patient's perspective. Overall 90% of responders preferred STORM2 to traditional clinic management. The DASS questions indicated that patients were more satisfied with their anticoagulation treatment and more likely to recommend oral anticoagulation to a friend after experiencing STORM2 . In addition, patients found STORM2 to be less complicated and more convenient than traditional clinic management. For each traditional monthly visit, patients drove 20 miles and expended a total of 1.8 hours; using 55¢/mile for mileage reimbursement and $15/hour for lost wages, the cost for each visit was $38. The total cost for four STORM2 visits per month was $10, for a net savings of $28 per patient per month. A total of 76% of patients were willing to pay additional money to eliminate a monthly clinic visit.
CONCLUSION:
STORM2 is more convenient, less complicated, preferred by patients, and saves patients time and money compared with clinic management.
