Factors Affecting Adherence in Allergic Disorders and Strategies for Improvement.

Autor: Udemgba C; National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Md; University Medicine Associates, University Health, San Antonio, Tex. Electronic address: chioma.udemgba@uhtx.com., Burbank AJ; Division of Pediatric Allergy and Immunology, University of North Carolina School of Medicine, Chapel Hill, NC., Gleeson P; Section of Allergy and Immunology, Division of Pulmonary, Allergy, and Critical Care Medicine, Perelman School of Medicine at University of Pennsylvania, Philadelphia, Pa., Davis CM; Section of Immunology, Allergy, and Rheumatology, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas., Matsui EC; Center for Health & Environment: Education & Research, University of Texas at Austin Dell Medical School, Austin, Texas., Mosnaim G; Division of Allergy and Immunology, Department of Medicine, Endeavor Health, Glenview, Ill.
Jazyk: angličtina
Zdroj: The journal of allergy and clinical immunology. In practice [J Allergy Clin Immunol Pract] 2024 Dec; Vol. 12 (12), pp. 3189-3205. Date of Electronic Publication: 2024 Jun 13.
DOI: 10.1016/j.jaip.2024.06.008
Abstrakt: Addressing patient adherence is a key element in ensuring positive health outcomes and improving health-related quality of life for patients with atopic and immunologic disorders. Understanding the complex etiologies of patient nonadherence and identifying real-world solutions is important for clinicians, patients, and systems to design and effect change. This review serves as an important resource for defining key issues related to patient nonadherence and outlines solutions, resources, knowledge gaps, and advocacy areas across five domains: health care access, financial considerations, socioenvironmental factors, health literacy, and psychosocial factors. To allow for more easily digestible and usable content, we describe solutions based on three macrolevels of focus: patient, clinician, and system. This review and interactive tool kit serve as an educational resource and call to action to improve equitable distribution of resources, institutional policies, patient-centered care, and practice guidelines for improving health outcomes for all patients with atopic and immunologic disorders.
(Published by Elsevier Inc.)
Databáze: MEDLINE