Differences in patient outcomes and chronic care management of oral anticoagulant therapy: an explorative study

Table 1 Differences between AC regions in chronic care management categorized by the CCM elements (N = 59)

	N	mean (sd)
Health care organization
Client board	56
Quality manager	58
Quality improvement system (none/IKA or VIM/both)	1/10/48
Insight in telephonic waiting times(proxy patient orientation)	24
Accreditation (no/once/more than once)	14/13/32
Self management support
Percentage of self management patients		5.0 (4.9)
Self-management support with webbased application	15
Frequency of self management control by AC		3.8 (1.4)
Delivery system (re)design
Regional multidisciplinary meeting	7
Specialized nurses versus doctors		8.7(11.3)
Decision support
Formal agreements with hospitals	34
Software used for dosage advice	57
Info to AC about prescribed interacting drugs (no. always and mean (scale never-always: 0-3))
Info from the pharmacist about starting	28	2.4 (0.6)
Info from the dispensing GP about starting	11	1.5 (1.0)
Info from the pharmacist about change/discontinue	12	1.6 (1.0)
Info from the dispensing GP about change/discontinue	4	1.0 (1.0)
Information from the hospital (scale slow-fast: 0-10)		1.1 (1.5)
Clinical information systems
Communication medium (telephone or other with INR > 8)	44
Webbased patient information for dosage advice	11

GP (general practitioner), IKA (system to report ideas, complaints and deviations), INR (International normalized ratio), VIM (safe reporting of incidents).

ISSN: 1472-6963