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

Charlotte Suppli Ulrik, ARIA Study Group

Research output: Contribution to journalReviewResearchpeer-review

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Abstract

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.

Original languageEnglish
Article number44
JournalClinical and Translational Allergy
Volume9
Number of pages15
ISSN2045-7022
DOIs
Publication statusPublished - 9. Sep 2019

Fingerprint

Patient Participation
Guidelines
Delivery of Health Care
Integrated Delivery of Health Care
Air Pollution
Environmental Exposure
Pharmacists
Comorbidity
Hypersensitivity
Health

Keywords

  • ARIA
  • Care pathways
  • Health care transformation
  • MASK
  • POLLAR
  • Rhinitis

Cite this

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title = "Next-generation ARIA care pathways for rhinitis and asthma: a model for multimorbid chronic diseases",
abstract = "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 Sant{\'e} 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.",
keywords = "ARIA, Care pathways, Health care transformation, MASK, POLLAR, Rhinitis",
author = "Bousquet, {J Jean} and Sch{\"u}nemann, {Holger J} and Alkis Togias and Marina Erhola and Hellings, {Peter W} and Torsten Zuberbier and Ioana Agache and Ansotegui, {Ignacio J} and Anto, {Josep M} and Claus Bachert and Sven Becker and Martin Bedolla-Barajas and Michael Bewick and Sinthia Bosnic-Anticevich and Isabelle Bosse and Boulet, {Louis P} and Bourrez, {Jean Marc} and Guy Brusselle and Niels Chavannes and Elisio Costa and Cruz, {Alvaro A} and Wienczyslawa Czarlewski and Fokkens, {Wytske J} and Fonseca, {Joao A} and Mina Gaga and Tari Haahtela and Maddalena Illario and Ludger Klimek and Piotr Kuna and Violeta Kvedariene and Le, {L T T} and Desiree Larenas-Linnemann and Daniel Laune and Louren{\cc}o, {Olga M} and Enrica Menditto and Joaquin Mullol and Yashitaka Okamoto and Nikos Papadopoulos and Nh{\^a}n Pham-Thi and Robert Picard and Hilary Pinnock and Nicolas Roche and Roller-Wirnsberger, {Regina E} and Christine Rolland and Boleslaw Samolinski and Aziz Sheikh and Sanna Toppila-Salmi and Ioanna Tsiligianni and Carsten Bindslev-Jensen and Esben Eller and Ulrik, {Charlotte Suppli} and {ARIA Study Group}",
year = "2019",
month = "9",
day = "9",
doi = "10.1186/s13601-019-0279-2",
language = "English",
volume = "9",
journal = "Clinical and Translational Allergy",
issn = "2045-7022",
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Next-generation ARIA care pathways for rhinitis and asthma : a model for multimorbid chronic diseases. / Ulrik, Charlotte Suppli; ARIA Study Group.

In: Clinical and Translational Allergy, Vol. 9, 44, 09.09.2019.

Research output: Contribution to journalReviewResearchpeer-review

TY - JOUR

T1 - Next-generation ARIA care pathways for rhinitis and asthma

T2 - a model for multimorbid chronic diseases

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 - Toppila-Salmi, Sanna

AU - Tsiligianni, Ioanna

AU - Bindslev-Jensen, Carsten

AU - Eller, Esben

AU - Ulrik, Charlotte Suppli

AU - ARIA Study Group

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

U2 - 10.1186/s13601-019-0279-2

DO - 10.1186/s13601-019-0279-2

M3 - Review

C2 - 31516692

VL - 9

JO - Clinical and Translational Allergy

JF - Clinical and Translational Allergy

SN - 2045-7022

M1 - 44

ER -