Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
College of Pharmacy, Qatar University, Doha, Qatar.
Clin Appl Thromb Hemost. 2018 Dec;24(9_suppl):255S-260S. doi: 10.1177/1076029618807575. Epub 2018 Oct 22.
Direct oral anticoagulants (DOACs) are more commonly prescribed since their introduction. Reports on inappropriate prescribing have been observed which may indicate poor awareness on these agents. In this study, we aim to evaluate the extent of the physicians' knowledge on DOACs and its possible impact on physicians' confidence to prescribe these medications. A prospective cross-sectional survey was developed based on the literature review. Eligible participants were physicians and surgeons currently practicing at Hamad General Hospital in Qatar. The survey included questions on demographic and professional characteristics. It also evaluated the awareness and attitudes regarding safety, efficacy, and prescribing of DOACs. Over 6-month period, 175 practitioners responded to the survey. Overall awareness score was moderate (61% ± 18%). These scores were in alignment with participants' self-satisfaction with knowledge on DOACs (66% were not satisfied) and participants' confidence toward prescribing DOACs (48% were not confident). Age, degree of education, and years of experience had significant positive influence on awareness score. This survey indicates that practitioners have moderate awareness on DOACs. Future work should focus on reassessing practitioners' knowledge after providing well-designed education campaigns.
直接口服抗凝剂(DOACs)自推出以来,应用更为广泛。据报道,这些药物的处方不当情况时有发生,这可能表明医生对这些药物的认识不足。本研究旨在评估医生对 DOACs 的了解程度及其对医生开具这些药物的信心可能产生的影响。我们基于文献综述制定了一项前瞻性横断面调查。合格的参与者是目前在卡塔尔哈马德总医院执业的医生和外科医生。该调查包括人口统计学和专业特征的问题。它还评估了对 DOACs 的安全性、疗效和处方的认识和态度。在 6 个月的时间里,有 175 名从业者对该调查做出了回应。总体意识评分中等(61%±18%)。这些评分与参与者对 DOACs 知识的自我满意度(66%的人不满意)和参与者对开具 DOACs 的信心(48%的人没有信心)一致。年龄、教育程度和工作年限对意识评分有显著的积极影响。本调查表明,医生对 DOACs 的认识程度中等。未来的工作应重点关注在提供精心设计的教育活动后,重新评估从业者的知识。