Barriers and enablers to healthcare system uptake of direct oral anticoagulants for stroke prevention in atrial fibrillation: a qualitative interview study with healthcare professionals and policy makers in England.

ABSTRACT:

Objective

To better understand the factors influencing the uptake of direct oral anticoagulants (DOACs) across different health economies in National Health Service England from the perspective of health professionals and other health economy stakeholders.

Design

Qualitative interview study using a critical realism perspective and informed by the Diffusion of Innovations in Service Organisations model.

Setting

Three health economies in the North of England, United Kingdom.

Participants

Healthcare professionals involved in the management of patients requiring oral anticoagulants, stakeholders involved in the implementation of DOACs and representatives of pharmaceutical industry companies and patient support groups.

Intervention

Semistructured interviews (

SUBMITTER: Medlinskiene K 

PROVIDER: S-EPMC10151893 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature