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�й�ҩѧ��־ 2014, Vol. 49 Issue (16) :1476-1480    DOI: 10.11669/cpj.2014.16.024
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ZHANG Jin-hua1, LIU Mao-bai1*, GUAN Chao-fan 1,2,TIAN Huang-long1
1.Department of Pharmacy, Fujian Medical University Union Hospital, Fuzhou 350001, China;
2.The Second Hospital of Sanming City,Sanming 366000, China

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Abstract�� OBJECTIVE To explore the feasibility and necessity of online anticoagulation clinic for patients taking warfarin. METHODS QQ group information exchange platform was applied to build the online anticoagulation clinic for management of the patients who took warfarin after heart valve replacement. RESULTS Online anticoagulation clinic was successfully established, which improved patient medication compliance, INR compliance rate and quality of life, and reduced the time to reach INR standard and the incidence of bleeding. Meanwhile it saved the medical costs for patients. CONCLUSION Online anticoagulation clinic is a new mode of anticoagulation clinic. It can serve more patients taking warfarin.
Keywords�� clinical pharmacist,   warfarin,   anticoagulation,   clinic,   online     
�ո�����: 2014-09-03;
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�Ž���, ��ï��*, �ٳ����� .���Ͽ�������Ľ�����ʵ��[J]  �й�ҩѧ��־, 2014,V49(16): 1476-1480
ZHANG Jin-Hua-, LIU Mao-Bai-*, GUAN Chao-Fan- etc .Establishment and Practice of Online Anticoagulation Clinic[J]  Chinese Pharmaceutical Journal, 2014,V49(16): 1476-1480
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[1] ZENG X Z, LIU D P.The significance and status of anticoagulation clinic.Chin J Cardiovasc Med(�й���Ѫ����־),2011,16(2):96. GARTON L, CROSBY J F. A retrospective assessment comparing pharmacist-managed anticoagulation clinic with physician management using international normalized ratio stability.J Thromb Thrombolysis, 2011,32(4):426-430. HASAN S S, SHAMALA R, SYED I A,et al. Factors affecting warfarin-related knowledge and INR control of patients attending physician- and pharmacist-managed anticoagulation clinics.J Pharm Pract, 2011, 24(5):485-493. HILTON J F, BARKOFF L, CHANG O, et al.A cross-sectional study of barriers to personal health record use among patients attending a safety-net clinic. PLoS One,2012,7(2):2-6. WHITLOCK R P, SUN J C, FREMES S E,et al. Antithrombotic and thrombolytic therapy for valvular disease: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines . Chest,2012, 141(2 suppl):576-600. WANG B, XU Z Y,YE X F. Anticoagulation intensity with warfarin for Chinese people after mechanical valve replacement: A systematic review . Int J Cardiovasc Dis,2010,37(6):361-366.
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