Assessing Anticoagulation Therapy Management Services

描述(由申请人提供)：本研究的长期目标是改善接受慢性口服抗凝治疗的患者的健康结果。我的主要目的是确定将患者的健康素养和计算能力、关于华法林治疗的健康知识和健康信念的信息整合到提供给药剂师的临床信息中，对INR控制产生的影响。这项研究的中心假设是，通过扩大可用的临床信息，纳入与患者的健康素养和算力、健康知识和健康信念有关的信息，临床医生将能够定制教育干预和决策，以最大限度地满足患者的需求。为了验证中心假设，拟议的研究将解决以下三个目标：(1)确定患者的健康知识、健康信念以及华法林疗法的健康素养和算术能力，当整合到药剂师的临床信息中时，是否会影响患者的INR控制。(2)确定患者的健康知识、健康信念以及华法林的健康素养和算术能力，当整合到药剂师的临床信息中时，是否会影响患者的口服抗凝治疗知识。(3)确定额外的收集、分析和纳入有关患者健康知识、健康信念以及关于华法林治疗的健康素养和计算能力的信息所产生的成本影响。

DESCRIPTION (provided by the applicant): The long-term goal of this research is to improve health outcomes in patients on chronic oral anticoagulation therapy. My primary aim is to determine the impact on INR control resulting from the integration of information on patient health literacy and numeracy, health knowledge and health beliefs regarding warfarin therapy into the clinical information provided to the pharmacist. The central hypothesis of this research is that by expanding the clinical information available to incorporate information pertaining to patients' health literacy and numeracy, health knowledge and health beliefs, clinicians will be able to tailor educational interventions and decision-making to best fit the patients' needs. To test the central hypothesis, the proposed study will address the following three aims: (1) To determine if patient health knowledge, health beliefs, and health literacy and numeracy of warfarin therapy, when integrated into pharmacists' clinical information, will impact patients INR control. (2) To determine if patient health knowledge, health beliefs, and health literacy and numeracy of warfarin, when integrated into pharmacists' clinical information, will impact patient's knowledge of oral anticoagulation therapy. (3) To determine the cost implications resulting from the additional process of collecting, analyzing and incorporating information on patient health knowledge, health beliefs, and health literacy and numeracy regarding warfarin therapy.