ARIA 2019: Um Percurso Assistencial Integrado para a Rinite Alérgica em Portugal

The Allergic Rhinitis and Its Impact on Asthma (ARIA) initiative started more than 20 years ago and has developed and disseminated evidence-based guidelines and projects in the field of allergic rhinitis. This initiative is currently focused on providing patient-centred guidelines that contribute to an integrated care pathway between the various levels of care and take advantage of digital solutions, and the introduction of integrated care pathways in clinical practice has been recommended. In this article we describe the adaptation for Portugal of the ARIA Integrated Care Pathways document. After a brief review of the epidemiology and impact of allergic rhinitis in Portugal and the activities carried out in Portugal within the ARIA initiative, we describe the broad knowledge base used for the development of recommendations for the pharmacological treatment of allergic rhinitis, and these recommendations are based on the GRADE methodology, real world evidence acquired by mobile technology (mHealth) and resulting from allergenic exposure chamber studies. What follows is a summary of integrated care pathways for allergen immunotherapy produced in 2019. Allergen immunotherapy is considered an example of precision medicine where the use of mHealth technologies will improve stratification for patient selection and response monitoring. These recommendations were considered as best practices of integrated patient-centred care supported by digital systems from Directorate General for Health and Food Safety of the European Union (DG Santé) and represent the ARIA Phase4 Change Management strategy.

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Integrated care pathways on dementia in Italy: a survey testing the compliance with a national guidance

Neurological Sciences ◽

10.1007/s10072-019-04184-9 ◽

2019 ◽

Vol 41 (4) ◽

pp. 917-924

Author(s):

Giuseppe Gervasi ◽

Guido Bellomo ◽

Flavia Mayer ◽

Valerio Zaccaria ◽

Ilaria Bacigalupo ◽

...

Keyword(s):

Integrated Care ◽

Care Pathway ◽

Care Pathways ◽

Local Health ◽

Health Authorities ◽

People With Dementia ◽

Specific Objective ◽

Item Checklist ◽

Integrated Care Pathways ◽

Integrated Care Pathway

AbstractDementias are chronic, degenerative neurological disorders with a complex management that require the cooperation of different healthcare professionals. The Italian Ministry of Health produced the document “Guidance on Integrated Care pathway for People with Dementia” (GICPD) with the specific objective of providing a standardized framework for the definition, development, and implementation of integrated care pathways (ICP) dedicated to people with dementia. We searched all available Italian territorial ICPs. Two raters assessed the retrieved ICPs with a 2-point scale on a 43-item checklist based on the GICPD. Only 5 out of 21 regions and 5 out of 101 local health authorities had an ICP, with most ICPs having a moderate compliance to the GICPD, in particular for the items referring to the development and implementation of the care pathways. A low to moderate inter-rater agreement was observed, mainly due to a lack of standardized models to describe ICPs for dementias. Results suggest that policy- and decision-makers should pay more attention to the GICPD when producing ICPs. The direct communication with clinicians, and the implementation of more precise and appropriate clinical outcomes, could increase the involvement of clinicians, whose participation is crucial to guarantee that ICPs meet needs of patients and their carers.

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User Interface Requirements for Web-Based Integrated Care Pathways: Evidence from the Evaluation of an Online Care Pathway Investigation Tool

Journal of Medical Systems ◽

10.1007/s10916-015-0357-5 ◽

2015 ◽

Vol 39 (11) ◽

Cited By ~ 3

Author(s):

Panos Balatsoukas ◽

Richard Williams ◽

Colin Davies ◽

John Ainsworth ◽

Iain Buchan

Keyword(s):

User Interface ◽

Integrated Care ◽

Care Pathway ◽

Care Pathways ◽

Web Based ◽

Integrated Care Pathways

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ARIA guideline 2019: treatment of allergic rhinitis in the German health system

Allergo Journal International ◽

10.1007/s40629-019-00110-9 ◽

2019 ◽

Vol 28 (7) ◽

pp. 255-276 ◽

Cited By ~ 1

Author(s):

Ludger Klimek ◽

Claus Bachert ◽

Oliver Pfaar ◽

Sven Becker ◽

Thomas Bieber ◽

...

Keyword(s):

Allergic Rhinitis ◽

Health System ◽

Integrated Care ◽

Respiratory Diseases ◽

Social Systems ◽

Real Life ◽

Care Pathways ◽

Chronic Respiratory Diseases ◽

Number Of Patients ◽

Integrated Care Pathways

Abstract Background The number of patients affected by allergies is increasing worldwide. The resulting allergic diseases are leading to significant costs for health care and social systems. Integrated care pathways are needed to enable comprehensive care within the national health systems. The ARIA (Allergic Rhinitis and its Impact on Asthma) initiative develops internationally applicable guidelines for allergic respiratory diseases. Methods ARIA serves to improve the care of patients with allergies and chronic respiratory diseases. In collaboration with other international initiatives, national associations and patient organizations in the field of allergies and respiratory diseases, real-life integrated care pathways have been developed for a digitally assisted, integrative, individualized treatment of allergic rhinitis (AR) with comorbid asthma. In the present work, these integrated care pathways have been adapted to the German situation and health system. Results The present ICP (integrated care pathways) guideline covers key areas of the care of AR patients with and without asthma. It includes the views of patients and other healthcare providers. Discussion A comprehensive ICP guideline can reflect real-life care better than traditional guideline models.

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