Do you think that home INR monitoring is a feasible option for elderly, frail patients with atrial fibrillation on VKA treatment, given variations in socioeconomic status and access to care?   

While home INR monitoring has revolutionized the use of VKA treatments, there are many patients who do not have access to this monitoring modality. In a population of frail, elderly patients, this may be due to lack of technical skills or clinical support in addition to access of care challenges. In...

Whenever possible, I prescribe home INR monitoring with appropriate equipment. This allows me to monitor my patients on a weekly basis, rather than on a monthly basis at best. Unfortunately, insurance reimbursement is not standard for this equipment, and many patients are unable to obtain it. The ab...