Next-generation ARIA care pathways for rhinitis and asthma: a model for multimorbid chronic diseases
Bousquet JJ; Schunemann HJ; Togias A; Erhola M; Hellings PW; Zuberbier T; Agache I; Ansotegui IJ; Anto JM; Bachert C; Becker S; Bedolla-Barajas M; Bewick M; Bosnic-Anticevich S; Bosse I; Boulet LP; Bourrez JM; Brusselle G; Chavannes N; Costa E; Cruz AA; Czarlewski W; Fokkens WJ; Fonseca JA; Gaga M; Haahtela T; Illario M; Klimek L; Kuna P; Kvedariene V; Le LTT; Larenas-Linnemann D; Laune D; Lourenco OM; Menditto E; Mullo J; Okamoto Y; Papadopoulos N; Nhan PT; Picard R; Pinnock H; Roche N; Roller-Wirnsberger RE; Rolland C; Samolinski B; Sheikh A; Toppila-Salmi S; Tsiligianni I; Valiulis A; Valovirta E; Vasankari T; Ventura MT; Walker S; Williams S; Akdis CA; Annesi-Maesano I; Arnavielhe S; Basagana X; Bateman E; Bedbrook A; Bennoor KS; Benveniste S; Bergmann KC; Bia S; Billo N; Bindslev-Jensen C; Bjermer L; Blain H; Bonini M; Bonniaud P; Bouchard J; Briedis V; Brightling CE; Brozek J; Buhl R; Buonaiuto R; Canonica GW; Cardona V; Carriazo AM; Carr W; Cartier C; Casale T; Cecchi L; Sarabia AMC; Chkhartishvili E; Chu DK; Cingi C; Colgan E; de Sousa JC; Courbis AL; Custovic A; Cvetkosvki B; D'Amato 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 JF; Gemicioglu B; Schmid-Grendelmeir P; Gamkrelidze A; Garcia-Aymerich J; Gomez M; Diaz SG; Gotua M; Guldemond NA; Guzman MA; Hajjam J; Hourihane JO; Humbert M; Iaccarino G; Ierodiakonou D; Ivancevich JC; Joos G; Jung KS; Jutel M; Kaidashev I; Kalayci O; Kardas P; Keil T; Khaitov M; Khaltaev N; Kleine-Tebbe J; Kowalski ML; Kritikos V; Kull I; Leonardini L; Lieberman P; Lipworth B; Carlsen KCL; Loureiro CC; Louis R; Mair A; Marien G; Mahboub B; Malva J; Manning P; Keenoy ED; Marshall GD; Masjedi MR; Maspero JF; Mathieu-Dupas E; Matricardi PM; Melen E; Melo-Gomes E; Meltzer EO; Mercier J; Miculinic N; Mihaltan F; Milenkovic B; Moda G; Mogica-Martinezl MD; 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 HS; Pepin JL; Pereira AM; Pfaar O; Paulino E; Phillips J; Plavec D; Popov TA; Portejoie F; Price D; Prokopakis EP; Pugin B; Raciborski F; Rajabian-Soderlund R; Reitsma S; Rodo X; Romano A; Rosario N; Rottem M; Ryan D; Salimaki J; Sanchez-Borges MM; Sisul JC; Sole D; Somekh D; Sooronbaev T; Sova M; Spranger O; Stellato C; Stelmach R; Ulrik CS; Thibaudon M; To T; Todo-Bom A; Tomazic PV; Valero AA; Valenta R; Valentin-Rostan M; van der Kleij R; Vandenplas O; Vezzani G; Viart F; Vieg G; Wallace D; Wagenmann M; Wang DY; Waserman S; Wickman M; Williams DM; Wong G; Wroczynski P; Yiallouros PK; Yorgancioglu A; Yusuf OM; Zar HJ; Zeng S; Zernotti M; Zhang L; Zhong NS; Zidarn M; Zhong NS; Zidarn M; Zernotti M; Zhang L; Zar HJ; Zeng S; Yorgancioglu A; Yusuf OM
Next-generation ARIA care pathways for rhinitis and asthma: a model for multimorbid chronic diseases
BMC
Julkaisun pysyvä osoite on:
https://urn.fi/URN:NBN:fi-fe2021042823114
https://urn.fi/URN:NBN:fi-fe2021042823114
Tiivistelmä
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 Sante 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.
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