Monitoring oral anticoagulation in primary care

doi:10.1136/bmj.313.7060.818b

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D I Gozzard, Consultant haematologist,
Alison Craig, Staff haematologist

Glan Clwyd District General Hospital, Rhyl, Clwyd LL18 5UJ

GPs in Wales send blood samples to clinic, get results in post, and decide dose

EDITOR,—D A Fitzmaurice and colleagues' editorial on monitoring oral anticoagulant treatment in primary care exposes a debate that has been simmering for some time.1 Our hospital, in a rural area in north east Wales, has never had an anticoagulant clinic. In addition, there is no near patient testing for the control of anticoagulation at present. In our system, …