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Do you think that home INR monitoring is a feasible option for elderly, frail patients with atrial fibrillation on VKA treatment, given variations in socioeconomic status and access to care?
Answer from: at Academic Institution
While home INR monitoring has revolutionized the use of VKA treatments, there are many patients who do not have access to this monitoring modality. In a population of frail, elderly patients, this may be due to lack of technical skills or clinical support in addition to access of care challenges. In...
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Answer from: at Community Practice
Whenever possible, I prescribe home INR monitoring with appropriate equipment. This allows me to monitor my patients on a weekly basis, rather than on a monthly basis at best. Unfortunately, insurance reimbursement is not standard for this equipment, and many patients are unable to obtain it. The ab...