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Next-generation ARIA care pathways for rhinitis and asthma: a model for multimorbid chronic diseases
CHU, Fondat Partenariale FMC VIA LR, MACVIA France, F-34295 Montpellier 5, France;Villejuif Univ Versailles St Quentin En Yvelines, VIMA Ageing & Chron Dis Epidemiol & Publ Hlth App, INSERM U 1168, UMR S 1168, Montigny Le Bretonneux, France;European Forum Res & Educ Allergy & Airway Dis EU, Brussels, Belgium;Charite Univ Med Berlin, Berlin, Germany;Free Univ Berlin, Berlin, Germany;Humboldt Uniersitat Berlin, Berlin, Germany.
McMaster Univ, Dept Clin Epidemiol & Biostat, Hamilton, ON, Canada.
NIAID, DAIT, NIH, 9000 Rockville Pike, Bethesda, MD 20892 USA.
Natl Inst Hlth & Welf, Helsinki, Finland.
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2019 (English)In: Clinical and Translational Allergy, ISSN 2045-7022, E-ISSN 2045-7022, Vol. 9, article id 44Article, review/survey (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
BMC , 2019. Vol. 9, article id 44
Keywords [en]
Health care transformation, Care pathways, Rhinitis, ARIA, MASK, POLLAR
National Category
Respiratory Medicine and Allergy
Identifiers
URN: urn:nbn:se:uu:diva-395359DOI: 10.1186/s13601-019-0279-2ISI: 000485072700001PubMedID: 31516692OAI: oai:DiVA.org:uu-395359DiVA, id: diva2:1362898
Available from: 2019-10-22 Created: 2019-10-22 Last updated: 2019-10-22Bibliographically approved

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