ArticleJournal of the American College of Clinical Pharmacy : JACCP2023
A qualitative study evaluating provider perceptions of implementing warfarin patient self-management in the United States healthcare system.
Article in Journal of the American College of Clinical Pharmacy : JACCP, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
5 citing papers in PubMed.
- Warfarin Patient Self-Management in the US Health Care System: A Nonrandomized Clinical Trial.JAMA network open · 2026Trial
- A qualitative study of warfarin self-management in the United States healthcare system: insights from patient experiences.Journal of thrombosis and thrombolysis · 2026Article
- Cost-Effectiveness Analysis of Patient Self-Management of Warfarin Among Patients With Non-Valvular Atrial Fibrillation.Pharmacotherapy · 2026Article
- Overcoming Barriers to Warfarin Patient Self-Management (PSM) in the US Healthcare System: Implementation Trial Study Protocol.medRxiv : the preprint server for health sciences · 2025Article
- A qualitative study exploring patient experiences and opinions of warfarin patient self-management in the US healthcare system.Journal of the American College of Clinical Pharmacy : JACCP · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
Background: Despite consensus guideline recommendations, the use of warfarin patient self-management (PSM) in the US healthcare system remains small in comparison to European countries. Objectives: To gain understanding of the barriers and facilitators to warfarin PSM in US healthcare systems through exploration of the opinions of select US anticoagulation management service providers. Methods: Focus group discussions were conducted at five geographically diverse sites. Grounded theory analysis was performed on focus group transcriptions using the consolidated framework for implementation research (CFIR) to identify facilitators and barriers to PSM implementation within the US healthcare system. Results: A total of 29 providers participated in eight focus group sessions. Five major themes emerged from the interviews: (1) "Ideal" PSM candidates possess identifiable characteristics (CFIR domain "Characteristics of Individuals"); (2) Providers harbor fears and lack familiarity with PSM facts and principles (CFIR domains "Characteristics of Individuals"; "Inner Setting"; and "Outer Setting"); (3) Providers mistrust patients' capability to engage in PSM (CFIR domains "Characteristics of Individuals"; "Inner Setting"; "Outer Setting"; and "Process"); (4) Despite acknowledging PSM advantages many providers cite workflow issues as barriers to implementation (CFIR domains "Intervention Characteristics"; "Inner Setting"; "Outer Setting"; and "Process"); and (5) Providers differed on how to best train patients to do PSM (CFIR domains "Intervention Characteristics"; and "Inner Setting"). Conclusions: Provider concern for patient safety contributes to hesitancy to relinquish control and mistrust of patients' ability to participate in PSM. Education and implementation strategies will be key to overcoming barriers to PSM in the United States.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.