Next-generation ARIA care pathways for rhinitis and asthma: a model for multimorbid chronic diseases: Review

Autor: Schünemann, Holger J., Yiallouros, Panayiotis K., Bousquet, J. Jean, Togias, Alkis, Erhola, Marina, Hellings, Peter W., Zuberbier, Torsten, Agache, Ioana, Ansotegui, Ignacio J., Anto, Josep M., Bachert, Claus, Becker, Sven, Bedolla-Barajas, Martin, Bewick, Michael, Bosnic-Anticevich, Sinthia, Bosse, Isabelle, Boulet, Louis P., Bourrez, Jean Marc, Brusselle, Guy, Chavannes, Niels, Costa, Elisio, Cruz, Alvaro A., Czarlewski, Wienczyslawa, Fokkens, Wytske J., Fonseca, Joao A., Gaga, Mina, Haahtela, Tari, Illario, Maddalena, Klimek, Ludger, Kuna, Piotr, Kvedariene, Violeta, Le, L. T. T., Larenas-Linnemann, Desiree, Laune, Daniel, Lourenço, Olga M., Menditto, Enrica, Mullol, Joaquin, Okamoto, Yashitaka, Papadopoulos, Nikos, Pham-Thi, Nhân, Picard, Robert, Pinnock, Hilary, Roche, Nicolas, Roller-Wirnsberger, Regina E., Rolland, Christine, Samolinski, Boleslaw, Sheikh, Aziz, Toppila-Salmi, Sanna, Tsiligianni, Ioanna, Valiulis, Arunas, Valovirta, Erkka, Vasankari, Tuula, Ventura, Maria-Teresa, Walker, Samantha, Williams, Sian, Akdis, Cezmi A., Annesi-Maesano, Isabella, Arnavielhe, Sylvie, Basagana, Xavier, Bateman, Eric, Bedbrook, Anna, Bennoor, K. S., Benveniste, Samuel, Bergmann, Karl C., Bialek, Slawomir, Billo, Nils, Bindslev-Jensen, Carsten, Bjermer, Leif, Blain, Hubert, Bonini, Mateo, Bonniaud, Philippe, Bouchard, Jacques, Briedis, Vitalis, Brightling, Christofer E., Brozek, Jan, Buhl, Roland, Buonaiuto, Roland, Canonica, Giorgo W., Cardona, Victoria, Carriazo, Ana M., Carr, Warner, Cartier, Christine, Casale, Thomas, Cecchi, Lorenzo, Cepeda Sarabia, Alfonso M., Chkhartishvili, Eka, Chu, Derek K., Cingi, Cemal, Colgan, Elaine, de Sousa, Jaime Correia, Courbis, Anne Lise, Custovic, Adnan, Cvetkosvki, Biljana, D’Amato, Gennaro, da Silva, Jane, Dantas, Carina, Dokic, Dejand, Dauvilliers, Yves, Dedeu, Antoni, De Feo, Giulia, Devillier, Philippe, Di Capua, Stefania, Dykewickz, Marc, Dubakiene, Ruta, Ebisawa, Motohiro, El-Gamal, Yaya, Eller, Esben, Emuzyte, Regina, Farrell, John, Fink-Wagner, Antjie, Fiocchi, Alessandro, Fontaine, Jean F., Gemicioğlu, Bilun, Schmid-Grendelmeir, Peter, Gamkrelidze, Amiran, Garcia-Aymerich, Judith, Gomez, Maximiliano, González Diaz, Sandra, Gotua, Maia, Guldemond, Nick A., Guzmán, Maria-Antonieta, Hajjam, Jawad, O’B Hourihane, John, Humbert, Marc, Iaccarino, Guido, Ierodiakonou, Despo, Ivancevich, Juan C., Joos, Guy, Jung, Ki-Suck, Jutel, Marek, Kaidashev, Igor, Kalayci, Omer, Kardas, Przemyslaw, Keil, Thomas, Khaitov, Mussa, Khaltaev, Nikolai, Kleine-Tebbe, Jorg, Kowalski, Marek L., Kritikos, Vicky, Kull, Inger, Leonardini, Lisa, Lieberman, Philip, Lipworth, Brian, Lodrup Carlsen, Karin C., Loureiro, Claudia C., Louis, Renaud, Mair, Alpana, Marien, Gert, Mahboub, Bassam, Malva, Joao, Manning, Patrick, De Manuel Keenoy, Esteban, Marshall, Gailen D., Masjedi, Mohamed R., Maspero, Jorge F., Mathieu-Dupas, Eve, Matricardi, Poalo M., Melén, Eric, Melo-Gomes, Elisabete, Meltzer, Eli O., Mercier, Jacques, Miculinic, Neven, Mihaltan, Florin, Milenkovic, Branislava, Moda, Giuliana, Mogica-Martinez, Maria-Dolores, Mohammad, Yousser, Montefort, Steve, Monti, Ricardo, Morais-Almeida, Mario, Mösges, Ralf, Münter, Lars, Muraro, Antonella, Murray, Ruth, Naclerio, Robert, Napoli, Luigi, Namazova-Baranova, Leila, Neffen, Hugo, Nekam, Kristoff, Neou, Angelo, Novellino, Enrico, Nyembue, Dieudonné, O’Hehir, Robin, Ohta, Ken, Okubo, Kimi, Onorato, Gabrielle, Ouedraogo, Solange, Pali-Schöll, Isabella, Palkonen, Susanna, Panzner, Peter, Park, Hae-Sim, Pépin, Jean-Louis, Pereira, Ana-Maria, Pfaar, Oliver, Paulino, Ema, Phillips, Jim, Plavec, Davor, Popov, Ted A., Portejoie, Fabienne, Price, David, Prokopakis, Emmanuel P., Pugin, Benoit, Raciborski, Filip, Rajabian-Söderlund, Rojin, Reitsma, Sietze, Rodo, Xavier, Romano, Antonino, Rosario, Nelson, Rottem, Menahenm, Ryan, Dermot, Salimäki, Johanna, Sanchez-Borges, Mario M., Sisul, Juan-Carlos, Solé, Dirceu, Somekh, David, Sooronbaev, Talant, Sova, Milan, Spranger, Otto, Stellato, Cristina, Stelmach, Rafael, Suppli Ulrik, Charlotte, Thibaudon, Michel, To, Teresa, Todo-Bom, Ana, Tomazic, Peter V., Valero, Antonio A., Valenta, Rudolph, Valentin-Rostan, Marylin, van der Kleij, Rianne, Vandenplas, Olivier, Vezzani, Giorgio, Viart, Frédéric, Viegi, Giovanni, Wallace, Dana, Wagenmann, Martin, Wang, De Y., Waserman, Susan, Wickman, Magnus, Williams, Dennis M., Wong, Gary, Wroczynski, Piotr, Yorgancioglu, Arzu, Yusuf, Osman M., Zar, Heahter J., Zeng, Stéphane, Zernotti, Mario, Zhang, Luo, Zhong, Nan S., Zidarn, Mihaela, Bousquet, J., Hellings, P. W., Aberer, W., Agache, I., Akdis, C. A., Akdis, M., Aliberti, M. R., Almeida, R., Amat, F., Angles, R., Annesi-Maesano, I., Ansotegui, I. J., Anto, J. M., Arnavielle, S., Asayag, E., Asarnoj, A., Arshad, H., Avolio, F., Bacci, E., Bachert, C., Baiardini, I., Barbara, C., Barbagallo, M., Baroni, I., Barreto, B. A., Basagana, X., Bateman, E. D., Bedolla-Barajas, M., Bedbrook, A., Bewick, M., Beghé, B., Bel, E. H., Bergmann, K. C., Benson, M., Bertorello, L., Białoszewski, A. Z., Bieber, T., Bialek, S., Bindslev-Jensen, C., Bjermer, L., Blain, H., Blasi, F., Blua, A., Bochenska Marciniak, M., Bogus-Buczynska, I., the ARIA Study Group, the MASK Study Group
Přispěvatelé: Briedis, Vitalis, uBibliorum, Yiallouros, Panayiotis K. [0000-0002-8339-9285], Costa, Elisio [0000-0003-1158-1480], Kritikos, Vicky [0000-0003-3955-0002], Gaga, Mina [0000-0002-9949-6012], Prokopakis, Emmanuel P. [0000-0002-1208-1990], Togias, Alkis [0000-0001-9009-5717], Erhola, Marina [0000-0002-1364-9023], Bosnic-Anticevich, Sinthia [0000-0001-5077-8329], Lourenço, Olga M. [0000-0002-8401-5976], Ierodiakonou, Despo [0000-0002-7862-2016], Health Services Management & Organisation (HSMO), Obstetrics & Gynecology, Universidade do Minho, Laboratoire de Génie Informatique et Ingénierie de Production (LGI2P), IMT - MINES ALES (IMT - MINES ALES), Institut Mines-Télécom [Paris] (IMT)-Institut Mines-Télécom [Paris] (IMT), Bousquet, J. J., Schunemann, H. J., Togias, A., Erhola, M., Hellings, P. W., Zuberbier, T., Agache, I., Ansotegui, I. J., Anto, J. M., Bachert, C., Becker, S., Bedolla-Barajas, M., Bewick, M., Bosnic-Anticevich, S., Bosse, I., Boulet, L. P., Bourrez, J. M., Brusselle, G., Chavannes, N., Costa, E., Cruz, A. A., Czarlewski, W., Fokkens, W. J., Fonseca, J. A., Gaga, M., Haahtela, T., Illario, M., Klimek, L., Kuna, P., Kvedariene, V., Le, L. T. T., Larenas-Linnemann, D., Laune, D., Lourenco, O. M., Menditto, E., Mullol, J., Okamoto, Y., Papadopoulos, N., Pham-Thi, N., Picard, R., Pinnock, H., Roche, N., Roller-Wirnsberger, R. E., Rolland, C., Samolinski, B., Sheikh, A., Toppila-Salmi, S., Tsiligianni, I., Valiulis, A., Valovirta, E., Vasankari, T., Ventura, M. -T., Walker, S., Williams, S., Akdis, C. A., Annesi-Maesano, I., Arnavielhe, S., Basagana, X., Bateman, E., Bedbrook, A., Bennoor, K. S., Benveniste, S., Bergmann, K. C., Bialek, S., Billo, N., Bindslev-Jensen, C., Bjermer, L., Blain, H., Bonini, M., Bonniaud, P., Bouchard, J., Briedis, V., Brightling, C. E., Brozek, J., Buhl, R., Buonaiuto, R., Canonica, G. W., Cardona, V., Carriazo, A. M., Carr, W., Cartier, C., Casale, T., Cecchi, L., Cepeda Sarabia, A. M., Chkhartishvili, E., Chu, D. K., Cingi, C., Colgan, E., De Sousa, J. C., Courbis, A. L., Custovic, A., Cvetkosvki, B., Damato, G., Da Silva, J., Dantas, C., Dokic, D., Dauvilliers, Y., Dedeu, A., De Feo, G., Devillier, P., Di Capua, S., Dykewickz, M., Dubakiene, R., Ebisawa, M., El-Gamal, Y., Eller, E., Emuzyte, R., Farrell, J., Fink-Wagner, A., Fiocchi, A., Fontaine, J. F., Gemicioglu, B., Schmid-Grendelmeir, P., Gamkrelidze, A., Garcia-Aymerich, J., Gomez, M., Diaz, S. G., Gotua, M., Guldemond, N. A., Guzman, M. -A., Hajjam, J., O'Hourihane, J. B., Humbert, M., Iaccarino, G., Ierodiakonou, D., Ivancevich, J. C., Joos, G., Jung, K. -S., Jutel, M., Kaidashev, I., Kalayci, O., Kardas, P., Keil, T., Khaitov, M., Khaltaev, N., Kleine-Tebbe, J., Kowalski, M. L., Kritikos, V., Kull, I., Leonardini, L., Lieberman, P., Lipworth, B., Lodrup Carlsen, K. C., Loureiro, C. C., Louis, R., Mair, A., Marien, G., Mahboub, B., Malva, J., Manning, P., De Manuel Keenoy, E., Marshall, G. D., Masjedi, M. R., Maspero, J. F., Mathieu-Dupas, E., Matricardi, P. M., Melen, E., Melo-Gomes, E., Meltzer, E. O., Mercier, J., Miculinic, N., Mihaltan, F., Milenkovic, B., Moda, G., Mogica-Martinez, M. -D., Mohammad, Y., Montefort, S., Monti, R., Morais-Almeida, M., Mosges, R., Munter, L., Muraro, A., Murray, R., Naclerio, R., Napoli, L., Namazova-Baranova, L., Neffen, H., Nekam, K., Neou, A., Novellino, E., Nyembue, D., O'Hehir, R., Ohta, K., Okubo, K., Onorato, G., Ouedraogo, S., Pali-Scholl, I., Palkonen, S., Panzner, P., Park, H. -S., Pepin, J. -L., Pereira, A. -M., Pfaar, O., Paulino, E., Phillips, J., Plavec, D., Popov, T. A., Portejoie, F., Price, D., Prokopakis, E. P., Pugin, B., Raciborski, F., Rajabian-Soderlund, R., Reitsma, S., Rodo, X., Romano, A., Rosario, N., Rottem, M., Ryan, D., Salimaki, J., Sanchez-Borges, M. M., Sisul, J. -C., Sole, D., Somekh, D., Sooronbaev, T., Sova, M., Spranger, O., Stellato, C., Stelmach, R., Ulrik, C. S., Thibaudon, M., To, T., Todo-Bom, A., Tomazic, P. V., Valero, A. A., Valenta, R., Valentin-Rostan, M., Van Der Kleij, R., Vandenplas, O., Vezzani, G., Viart, F., Viegi, G., Wallace, D., Wagenmann, M., Wang, D. Y., Waserman, S., Wickman, M., Williams, D. M., Wong, G., Wroczynski, P., Yiallouros, P. K., Yorgancioglu, A., Yusuf, O. M., Zar, H. J., Zeng, S., Zernotti, M., Zhang, L., Zhong, N. S., Zidarn, M., UCL - SSS/IREC/PNEU - Pôle de Pneumologie, ORL et Dermatologie, UCL - (MGD) Service de pneumologie
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Allergy
IMPACT
Respiratory Medicine and Allergy
ARIA Study Group
Health care transformation
Care pathways
Rhinitis
ARIA
MASK
POLLAR
Review
GUIDELINES
Medical and Health Sciences
PATIENT-CARE
0302 clinical medicine
immune system diseases
11. Sustainability
Health care
Medicine and Health Sciences
Outras Ciências Médicas [Ciências Médicas]
Immunology and Allergy
Medicine
030212 general & internal medicine
mHealth
health care economics and organizations
Lungmedicin och allergi
Rhinitis
Self-management
616.2 [udc]
Environmental exposure
POLLAR
3. Good health
CHRONIC RESPIRATORY-DISEASES
Care pathways
HEALTH
Life Sciences & Biomedicine
Pulmonary and Respiratory Medicine
SEASONAL ALLERGIC RHINITIS
medicine.medical_specialty
animal structures
MASK
Health care transformation
EUROPEAN INNOVATION PARTNERSHIP
ARIA
Immunology
Health literacy
03 medical and health sciences
INTERMITTENT
BUDESONIDE-FORMOTEROL
As an example for chronic disease care
MASK (Mobile Airways Sentinel NetworK)
a new project of the ARIA (Allergic Rhinitis and its Impact on Asthma) initiative
and POLLAR (Impact of Air POLLution on Asthma and Rhinitis
EIT Health)
in collaboration with professional and patient organizations in the field of allergy and airway diseases
are proposing real-life ICPs centred around the patient with rhinitis
and using mHealth to monitor environmental exposure. Three aspects of care pathways are being developed: (i) Patient participation
health literacy and self-care through technology-assisted "patient activation"
(ii) Implementation of care pathways by pharmacists and (iii) Next-generation guidelines assessing the recommendations of GRADE guidelines in rhinitis and asthma using real-world evidence (RWE) obtained through mobile technology. The EU and global political agendas are of great importance in supporting the digital transformation of health and care
and MASK has been recognized by DG Santé as a Good Practice in the field of digitally-enabled
integrated
person-centred care. Conclusion: In 20 years
ARIA has considerably evolved from the first multimorbidity guideline in respiratory diseases to the digital transformation of health and care with a strong political involvement
Air pollutants
adverse effects
Air pollution
Asthma
physiopathology
physiopathology [In all societies
the burden and cost of allergic and chronic respiratory diseases are increasing rapidly. Most economies are struggling to deliver modern health care effectively. There is a need to support the transformation of the health care system into integrated care with organizational health literacy. Main body]
Patient participation
SELF-MANAGEMENT
MASK Study Group
Ciências Médicas::Outras Ciências Médicas
udc:616.2
Care pathway
Science & Technology
business.industry
RC581-607
medicine.disease
respiratory tract diseases
Integrated care
030228 respiratory system
13. Climate action
Family medicine
Immunologic diseases. Allergy
Clinical Medicine
business
[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology
Zdroj: Clinical and translational allergy, London : BioMed Central, 2019, vol. 9, 44, p. 1-15
Clinical and Translational Allergy
Bousquet, J J, Schünemann, H J, Togias, A, Erhola, M, Hellings, P W, Zuberbier, T, Agache, I, Ansotegui, I J, Anto, J M, Bachert, C, Becker, S, Bedolla-Barajas, M, Bewick, M, Bosnic-Anticevich, S, Bosse, I, Boulet, L P, Bourrez, J M, Brusselle, G, Chavannes, N, Costa, E, Cruz, A A, Czarlewski, W, Fokkens, W J, Fonseca, J A, Gaga, M, Haahtela, T, Illario, M, Klimek, L, Kuna, P, Kvedariene, V, Le, L T T, Larenas-Linnemann, D, Laune, D, Lourenço, O M, Menditto, E, Mullol, J, Okamoto, Y, Papadopoulos, N, Pham-Thi, N, Picard, R, Pinnock, H, Roche, N, Roller-Wirnsberger, R E, Rolland, C, Samolinski, B, Sheikh, A, Toppila-Salmi, S, Tsiligianni, I, Valiulis, A, Valovirta, E, Vasankari, T, Ventura, M T, Walker, S, Williams, S, Akdis, C A, Annesi-Maesano, I, Arnavielhe, S, Basagana, X, Bateman, E, Bedbrook, A, Bennoor, K S, Benveniste, S, Bergmann, K C, Bialek, S, Billo, N, Bindslev-Jensen, C, Bjermer, L, Blain, H, Bonini, M, Bonniaud, P, Bouchard, J, Briedis, V, Brightling, C E, Brozek, J, Buhl, R, Buonaiuto, R, Canonica, G W, Cardona, V, Carriazo, A M, Carr, W, Cartier, C, Casale, T, Cecchi, L, Cepeda Sarabia, A M, Chkhartishvili, E, Chu, D K, Cingi, C, Colgan, E, De Sousa, J C, Courbis, A L, Custovic, A, Cvetkosvki, B, Damato, G, Da Silva, J, Dantas, C, Dokic, D, Dauvilliers, Y, Dedeu, A, De Feo, G, Devillier, P, Di Capua, S, Dykewickz, M, Dubakiene, R, Ebisawa, M, El-Gamal, Y, Eller, E, Emuzyte, R, Farrell, J, Fink-Wagner, A, Fiocchi, A, Fontaine, J F, Gemicioǧlu, B, Schmid-Grendelmeir, P, Gamkrelidze, A, Garcia-Aymerich, J, Gomez, M, Diaz, S G, Gotua, M, Guldemond, N A, Guzmán, M A, Hajjam, J, O'Hourihane, J B, Humbert, M, Iaccarino, G, Ierodiakonou, D, Ivancevich, J C, Joos, G, Jung, K S, Jutel, M, Kaidashev, I, Kalayci, O, Kardas, P, Keil, T, Khaitov, M, Khaltaev, N, Kleine-Tebbe, J, Kowalski, M L, Kritikos, V, Kull, I, Leonardini, L, Lieberman, P, Lipworth, B, Lodrup Carlsen, K C, Loureiro, C C, Louis, R, Mair, A, Marien, G, Mahboub, B, Malva, J, Manning, P, De Manuel Keenoy, E, Marshall, G D, Masjedi, M R, Maspero, J F, Mathieu-Dupas, E, Matricardi, P M, Melén, E, Melo-Gomes, E, Meltzer, E O, Mercier, J, Miculinic, N, Mihaltan, F, Milenkovic, B, Moda, G, Mogica-Martinez, M D, Mohammad, Y, Montefort, S, Monti, R, Morais-Almeida, M, Mösges, R, Münter, L, Muraro, A, Murray, R, Naclerio, R, Napoli, L, Namazova-Baranova, L, Neffen, H, Nekam, K, Neou, A, Novellino, E, Nyembue, D, O'Hehir, R, Ohta, K, Okubo, K, Onorato, G, Ouedraogo, S, Pali-Schöll, I, Palkonen, S, Panzner, P, Park, H S, Pépin, J L, Pereira, A M, Pfaar, O, Paulino, E, Phillips, J, Plavec, D, Popov, T A, Portejoie, F, Price, D, Prokopakis, E P, Pugin, B, Raciborski, F, Rajabian-Söderlund, R, Reitsma, S, Rodo, X, Romano, A, Rosario, N, Rottem, M, Ryan, D, Salimäki, J, Sanchez-Borges, M M, Sisul, J C, Solé, D, Somekh, D, Sooronbaev, T, Sova, M, Spranger, O, Stellato, C, Stelmach, R, Ulrik, C S, Thibaudon, M, To, T, Todo-Bom, A, Tomazic, P V, Valero, A A, Valenta, R, Valentin-Rostan, M, Van Der Kleij, R, Vandenplas, O, Vezzani, G, Viart, F, Viegi, G, Wallace, D, Wagenmann, M, Wang, D Y, Waserman, S, Wickman, M, Williams, D M, Wong, G, Wroczynski, P, Yiallouros, P K, Yorgancioglu, A, Yusuf, O M, Zar, H J, Zeng, S, Zernotti, M, Zhang, L, Zhong, N S & Zidarn, M 2019, ' Next-generation ARIA care pathways for rhinitis and asthma : a model for multimorbid chronic diseases ', Clinical and Translational Allergy, vol. 9, 44 . https://doi.org/10.1186/s13601-019-0279-2
Clinical and Translational Allergy, 9(1):44. BioMed Central Ltd.
Recercat. Dipósit de la Recerca de Catalunya
instname
2019, ' Next-generation ARIA care pathways for rhinitis and asthma : a model for multimorbid chronic diseases ', Clinical and translational allergy, vol. 9, pp. 44 . https://doi.org/10.1186/s13601-019-0279-2
CLINICAL AND TRANSLATIONAL ALLERGY
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Agência para a Sociedade do Conhecimento (UMIC)-FCT-Sociedade da Informação
instacron:RCAAP
Bousquet, J J, Schünemann, H J, Togias, A, Erhola, M, Hellings, P W, Zuberbier, T, Agache, I, Ansotegui, I J, Anto, J M, Bachert, C, Becker, S, Bedolla-Barajas, M, Bewick, M, Bosnic-Anticevich, S, Bosse, I, Boulet, L P, Bourrez, J M, Brusselle, G, Chavannes, N, Costa, E, Cruz, A A, Czarlewski, W, Fokkens, W J, Fonseca, J A, Gaga, M, Haahtela, T, Illario, M, Klimek, L, Kuna, P, Kvedariene, V, Le, L T T, Larenas-Linnemann, D, Laune, D, Lourenço, O M, Menditto, E, Mullol, J, Okamoto, Y, Papadopoulos, N, Pham-Thi, N, Picard, R, Pinnock, H, Roche, N, Roller-Wirnsberger, R E, Rolland, C, Samolinski, B, Sheikh, A, Toppila-Salmi, S, Tsiligianni, I, Bindslev-Jensen, C, Eller, E, Ulrik, C S & ARIA Study Group 2019, ' Next-generation ARIA care pathways for rhinitis and asthma : a model for multimorbid chronic diseases ', Clinical and Translational Allergy, vol. 9, 44 . https://doi.org/10.1186/s13601-019-0279-2
Clinical and Translational Allergy, BioMed Central, 2019, 9 (1), art. 44-15 p. ⟨10.1186/s13601-019-0279-2⟩
Repositório Científico de Acesso Aberto de Portugal
Repositório Científico de Acesso Aberto de Portugal (RCAAP)
Clinical and Translational Allergy, Vol 9, Iss 1, Pp 1-15 (2019)
Clinical and Translational Allergy, 9(1)
Clinical and translational allergy, Vol. 9, p. 44 [1-15] (2019)
ISSN: 2045-7022
DOI: 10.1186/s13601-019-0279-2
Popis: Background: In all societies, the burden and cost of allergic and chronic respiratory diseases are increasing rapidly. Most economies are struggling to deliver modern health care effectively. There is a need to support the transformation of the health care system into integrated care with organizational health literacy. Main body: As an example for chronic disease care, MASK (Mobile Airways Sentinel NetworK), a new project of the ARIA (Allergic Rhinitis and its Impact on Asthma) initiative, and POLLAR (Impact of Air POLLution on Asthma and Rhinitis, EIT Health), in collaboration with professional and patient organizations in the field of allergy and airway diseases, are proposing real-life ICPs centred around the patient with rhinitis, and using mHealth to monitor environmental exposure. Three aspects of care pathways are being developed: (i) Patient participation, health literacy and self-care through technology-assisted “patient activation”, (ii) Implementation of care pathways by pharmacists and (iii) Next-generation guidelines assessing the recommendations of GRADE guidelines in rhinitis and asthma using real-world evidence (RWE) obtained through mobile technology. The EU and global political agendas are of great importance in supporting the digital transformation of health and care, and MASK has been recognized by DG Santé as a Good Practice in the field of digitally-enabled, integrated, person-centred care. Conclusion: In 20 years, ARIA has considerably evolved from the first multimorbidity guideline in respiratory diseases to the digital transformation of health and care with a strong political involvement.
Partly funded by POLLAR (Impact of Air POLLution on Asthma and Rhinitis, EIT Health), and ARIA.
Databáze: OpenAIRE
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