Exploration of barriers and facilitators to initiating oral anticoagulants among patients with atrial fibrillation in Australian primary healthcare settings

Eyob Alemayehu Gebreyohannes

doi:10.26182/jvqk-d128

Exploration of barriers and facilitators to initiating oral anticoagulants among patients with atrial fibrillation in Australian primary healthcare settings

Eyob Alemayehu Gebreyohannes

Research output: Thesis › Doctoral Thesis

115 Downloads (Pure)

Abstract

Oral anticoagulants have established effectiveness in reducing the incidence of stroke and systemic embolism in patients with atrial fibrillation. However, underprescribing of oral anticoagulants ineligible patients with atrial fibrillation is frequently observed. This thesis aimed to explore barriers and facilitators to initiating oral anticoagulants among patients with atrial fibrillation in the Australian primary care settings. This doctoral research was undertaken in 4 phases, two reviews, an exploratory sequential mixed methods study, and a qualitative study. Barriers and facilitators related to the best available scientific evidence, clinical expertise and context, and patient values and preferences influence oral anticoagulant initiation.

Original language	English
Qualification	Doctor of Philosophy
Awarding Institution	The University of Western Australia
Supervisors/Advisors	Lee, Kenneth, Supervisor Salter, Sandra, Supervisor Chalmers, Leanne, Supervisor, External person
Award date	22 Feb 2023
DOIs	https://doi.org/10.26182/jvqk-d128
Publication status	Unpublished - 2023

Access to Document

10.26182/jvqk-d128

THESIS - DOCTOR OF PHILOSOPHY - GEBREYOHANNES Eyob - 2023
This work is protected by Copyright. You may print or download ONE copy of this document for the purpose of your own non-commercial research or study. Any other use requires permission from the copyright owner. The Copyright Act requires you to attribute any copyright works you quote or paraphrase.

2 Article
2 Review article

Use of thromboprophylaxis guidelines and risk stratification tools in atrial fibrillation: A survey of general practitioners in Australia
Gebreyohannes, E., Salter, S., Chalmers, L., Radford, J. & Lee, K., Jun 2022, In: Journal of Evaluation in Clinical Practice. 28, 3, p. 483-492 10 p.
Research output: Contribution to journal › Article › peer-review

Open Access
3 Citations (Scopus)
Non-adherence to Thromboprophylaxis Guidelines in Atrial Fibrillation: A Narrative Review of the Extent of and Factors in Guideline Non-adherence
Gebreyohannes, E., Salter, S., Chalmers, L., Bereznicki, L. & Lee, K., Jul 2021, In: American Journal of Cardiovascular Drugs. 21, 4, p. 419-433 15 p.
Research output: Contribution to journal › Review article › peer-review
20 Citations (Scopus)
Reasons for non-adherence to thromboprophylaxis prescribing guidelines in atrial fibrillation in Western Australia: A qualitative descriptive study of general practitioners' views
Gebreyohannes, E., Salter, S., Chalmers, L., Bereznicki, L. & Lee, K., Dec 2021, In: Thrombosis Research. 208, p. 83-91 9 p.
Research output: Contribution to journal › Article › peer-review
5 Citations (Web of Science)

Cite this

@phdthesis{ac134618d796483181d3ce87bed3c4d8,

title = "Exploration of barriers and facilitators to initiating oral anticoagulants among patients with atrial fibrillation in Australian primary healthcare settings",

abstract = "Oral anticoagulants have established effectiveness in reducing the incidence of stroke and systemic embolism in patients with atrial fibrillation. However, underprescribing of oral anticoagulants ineligible patients with atrial fibrillation is frequently observed. This thesis aimed to explore barriers and facilitators to initiating oral anticoagulants among patients with atrial fibrillation in the Australian primary care settings. This doctoral research was undertaken in 4 phases, two reviews, an exploratory sequential mixed methods study, and a qualitative study. Barriers and facilitators related to the best available scientific evidence, clinical expertise and context, and patient values and preferences influence oral anticoagulant initiation.",

keywords = "Atrial fibrillation, Oral anticoagulants, Stroke prevention, Guideline adherence, General practice, Australia, Mixed-methods, Evidence-based practice",

author = "Gebreyohannes, {Eyob Alemayehu}",

year = "2023",

doi = "10.26182/jvqk-d128",

language = "English",

school = "The University of Western Australia",

}

TY - BOOK

T1 - Exploration of barriers and facilitators to initiating oral anticoagulants among patients with atrial fibrillation in Australian primary healthcare settings

AU - Gebreyohannes, Eyob Alemayehu

PY - 2023

Y1 - 2023

N2 - Oral anticoagulants have established effectiveness in reducing the incidence of stroke and systemic embolism in patients with atrial fibrillation. However, underprescribing of oral anticoagulants ineligible patients with atrial fibrillation is frequently observed. This thesis aimed to explore barriers and facilitators to initiating oral anticoagulants among patients with atrial fibrillation in the Australian primary care settings. This doctoral research was undertaken in 4 phases, two reviews, an exploratory sequential mixed methods study, and a qualitative study. Barriers and facilitators related to the best available scientific evidence, clinical expertise and context, and patient values and preferences influence oral anticoagulant initiation.

AB - Oral anticoagulants have established effectiveness in reducing the incidence of stroke and systemic embolism in patients with atrial fibrillation. However, underprescribing of oral anticoagulants ineligible patients with atrial fibrillation is frequently observed. This thesis aimed to explore barriers and facilitators to initiating oral anticoagulants among patients with atrial fibrillation in the Australian primary care settings. This doctoral research was undertaken in 4 phases, two reviews, an exploratory sequential mixed methods study, and a qualitative study. Barriers and facilitators related to the best available scientific evidence, clinical expertise and context, and patient values and preferences influence oral anticoagulant initiation.

KW - Atrial fibrillation

KW - Oral anticoagulants

KW - Stroke prevention

KW - Guideline adherence

KW - General practice

KW - Australia

KW - Mixed-methods

KW - Evidence-based practice

U2 - 10.26182/jvqk-d128

DO - 10.26182/jvqk-d128

M3 - Doctoral Thesis

ER -

Exploration of barriers and facilitators to initiating oral anticoagulants among patients with atrial fibrillation in Australian primary healthcare settings

Abstract

Access to Document

Fingerprint

Research output

Use of thromboprophylaxis guidelines and risk stratification tools in atrial fibrillation: A survey of general practitioners in Australia

Non-adherence to Thromboprophylaxis Guidelines in Atrial Fibrillation: A Narrative Review of the Extent of and Factors in Guideline Non-adherence

Reasons for non-adherence to thromboprophylaxis prescribing guidelines in atrial fibrillation in Western Australia: A qualitative descriptive study of general practitioners' views

Cite this