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Project Description:

Number of Countries: 3-5

Number of Total cluster sites: 30-50

Number of Patients total: 1200-3500

Study Objective:

To determine whether a comprehensive evaluation and customized multilevel educational intervention will increase the rate of use of oral anticoagulation and adherence of use in patients with atrial fibrillation.

Specific Aims of the Study

• Determine if an educational intervention aimed at health systems, physicians and patients will increase the proportion of eligible patients who are treated with oral anticoagulation.
• Determine if an educational intervention aimed towards patients will increase patient adherence and persistence to oral anticoagulation for one year.
• Assess country specific perceptions, system challenges and barriers to the use of oral anticoagulants in patients with atrial fibrillation.
• Create a robust successful model that can be implemented in other practices and networks