[Self-control. Training to trainers and patients]

OAT self-managament, based on autonomous analysis practice using portable systems and dose auto adjustment guided by algorithms, has shown to have superiority over all other management systems, including anticoagulation centralized units. This system has successfully reduced thromboembolic events, major bleeding and, more importantly, mortality from any cause. The patient education for self-management is probably the essential key to the success of this model. Proper patient selection and relevant training ensure the effectiveness and reliability of self- management.