Centre for Policy on Ageing



Anticoagulant services in west Glasgow — accessibility for elderly patients
Author(s)	Pamela J Crawford, Anne Hendry, Annette Mallinson
Journal title	Health Bulletin, vol 55, no 6, November 1997
Pages	pp 394-398
Keywords	Drugs ; Stroke ; Out-patients ; Health clinics ; Hospital services ; Accessibility ; Glasgow.
Annotation	Anticoagulation for atrial fibrillation reduces stroke, and those at highest risk and thus the greatest potential to benefit from anticoagulation (using aspirin or warfarin) are older patients. The authors' perception is that such patients are often not anticoagulated because of concerns about safety and awareness of practical difficulties anticoagulating older patients with functional impairment. This survey - by questionnaire to patients and postal survey of local general practitioners (GPs) - profiles existing clinic attenders, identifies the burden of anticoagulant monitoring on GPs, and assesses their preferred model of anticoagulant follow-up. Patients attending the existing clinic were not the frail elderly. Introducing such patients to the hospital system has implications for hospital transport, consultation times, and staffing levels. The survey identifies a need for a community based shared care system of anticoagulant monitoring for older patients. (RH).
Accession Number	CPA-980722001 A
Classmark	LLD: CQA: LFB: L6: LD: 5CA: 9WC
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...from the Ageinfo database published by Centre for Policy on Ageing.