A number of primary care facilities in the county provide patients with equipment to measure blood pressure and coagulation unsupervised, or with limited support from the staff. Traditional monitoring of anticoagulant therapy is based on venous blood sampling, which is time consuming for both patient and staff. The alternative of self-testing is based on a point-of-care device that needs only a simple capillary sample. The test result appears directly on the instrument and is, in addition, autmatically transferred to the patient's medical record where it can be assessed by the unit responsible for the prescription, either primary care or the anticoagulant reception at Skellefteå hospital or Nus. The concept contributes to considerably shorter time between sampling and ordination, reduces costs for sample management, saves time for the staff and patients are offered the freedom of performing measurements at their own convenience. Since 2016, the County Council is, in addition, subsidizing not only laboratory-based monitoring but also point-of-care equipment for certain patient groups to monitor INR at home.
This text has been originally released in the following report: Telemedicine Survey in the County Council of Västerbotten -An analysis of the present situation, conditions and areas of improvement.