TY - JOUR
T1 - Next-generation ARIA care pathways for rhinitis and asthma
T2 - a model for multimorbid chronic diseases
AU - ARIA Study Group
AU - MASK Study Group
AU - Bousquet, J. Jean
AU - Schünemann, Holger J.
AU - Togias, Alkis
AU - Erhola, Marina
AU - Hellings, Peter W.
AU - Zuberbier, Torsten
AU - Agache, Ioana
AU - Ansotegui, Ignacio J.
AU - Anto, Josep M.
AU - Bachert, Claus
AU - Becker, Sven
AU - Bedolla-Barajas, Martin
AU - Bewick, Michael
AU - Bosnic-Anticevich, Sinthia
AU - Bosse, Isabelle
AU - Boulet, Louis P.
AU - Bourrez, Jean Marc
AU - Brusselle, Guy
AU - Chavannes, Niels
AU - Costa, Elisio
AU - Cruz, Alvaro A.
AU - Czarlewski, Wienczyslawa
AU - Fokkens, Wytske J.
AU - Fonseca, Joao A.
AU - Gaga, Mina
AU - Haahtela, Tari
AU - Illario, Maddalena
AU - Klimek, Ludger
AU - Kuna, Piotr
AU - Kvedariene, Violeta
AU - Le, L. T. T.
AU - Larenas-Linnemann, Desiree
AU - Laune, Daniel
AU - Lourenço, Olga M.
AU - Menditto, Enrica
AU - Mullol, Joaquin
AU - Okamoto, Yashitaka
AU - Papadopoulos, Nikos
AU - Pham-Thi, Nhân
AU - Picard, Robert
AU - Pinnock, Hilary
AU - Roche, Nicolas
AU - Roller-Wirnsberger, Regina E.
AU - Rolland, Christine
AU - Samolinski, Boleslaw
AU - Sheikh, Aziz
AU - Williams, Sian
AU - Lipworth, Brian
AU - Mair, Alpana
AU - Price, David
N1 - Partly funded by POLLAR (Impact of Air POLLution on Asthma and Rhinitis, EIT Health), and ARIA.
PY - 2019/9/9
Y1 - 2019/9/9
N2 - 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.
AB - 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.
KW - ARIA
KW - Care pathways
KW - Health care transformation
KW - MASK
KW - POLLAR
KW - Rhinitis
UR - http://www.scopus.com/inward/record.url?scp=85072991649&partnerID=8YFLogxK
U2 - 10.1186/s13601-019-0279-2
DO - 10.1186/s13601-019-0279-2
M3 - Review article
C2 - 31516692
SN - 2045-7022
VL - 9
SP - 1
EP - 15
JO - Clinical and Translational Allergy
JF - Clinical and Translational Allergy
IS - 1
M1 - 44
ER -