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

J. Jean Bousquet Holger J. Schünemann Alkis Togias Marina Erhola Peter W. Hellings Torsten Zuberbier Ioana Agache Ignacio J. Ansotegui Josep M. Anto Claus Bachert Sven Becker Martin Bedolla‑barajas Michael Bewick Sinthia Bosnic‑anticevich Isabelle Bosse Louis P. Boulet Jean Marc Bourrez Guy Brusselle Niels Chavannes Elisio Costa Alvaro A. Cruz Wienczyslawa Czarlewski Wytske J. Fokkens Joao A. Fonseca Mina Gaga Tari Haahtela Ludger Klimek Piotr Kuna Violeta Kvedariene L. T. T. Le Desiree Larenas‑linnemann Daniel Laune Olga M. Lourenço Enrica Menditto Joaquin Mullol Yashitaka Okamoto Nikos Papadopoulos Nhân Pham‑thi Robert Picard Hilary Pinnock Nicolas Roche Regina E. Roller‑wirnsberger Christine Rolland Boleslaw Samolinski Aziz Sheikh Sanna Toppila‑salmi Ioanna Tsiligianni Arunas Valiulis Erkka Valovirta Tuula Vasankari Maria‑teresa Ventura Samantha Walker Sian Williams Cezmi A. Akdis Isabella Annesi-Maesano Sylvie Arnavielhe Xavier Basagana Eric Bateman Anna Bedbrook K. S. Bennoor Samuel Benveniste Karl C. Bergmann Slawomir Bialek Nils Billo Carsten Bindslev‑jensen Leif Bjermer Hubert Blain Mateo Bonini Philippe Bonniaud Jacques Bouchard Vitalis Briedis Christofer E. Brightling Jan Brozek Roland Buhl Roland Buonaiuto Giorgo W. Canonica Victoria Cardona Ana M. Carriazo Warner Carr Christine Cartier Thomas Casale Lorenzo Cecchi Alfonso M. Cepeda Sarabia Eka Chkhartishvili Derek K. Chu Cemal Cingi Elaine Colgan Jaime Correia De Sousa Anne Lise Courbis 1 Adnan Custovic Biljana Cvetkosvki Gennaro D’amato Jane Da Silva Carina Dantas Dejand Dokic Yves Dauvilliers Antoni Dedeu Giulia De Feo Philippe Devillier Stefania Di Capua Marc Dykewickz Ruta Dubakiene Motohiro Ebisawa Yaya El‑gamal Esben Eller Regina Emuzyte John Farrell Antjie Fink‑wagner Alessandro Fiocchi Jean F. Fontaine Bilun Gemicioğlu Peter Schmid‑grendelmeir Amiran Gamkrelidze Judith Garcia‑aymerich Maximiliano Gomez Sandra González Diaz Maia Gotua Nick A. Guldemond Maria‑antonieta Guzmán Jawad Hajjam John O’b Hourihane Marc Humbert Guido Iaccarino Despo Ierodiakonou Maddalena Illario Juan C. Ivancevich Guy Joos Ki‑suck Jung Marek Jutel Igor Kaidashev Omer Kalayci Przemyslaw Kardas Thomas Keil Mussa Khaitov Nikolai Khaltaev Jorg Kleine‑tebbe Marek L. Kowalski Vicky Kritikos Inger Kull Lisa Leonardini Philip Lieberman Brian Lipworth Karin C. Lodrup Carlsen Claudia C. Loureiro Renaud Louis Alpana Mair Gert Marien Bassam Mahboub Joao Malva Patrick Manning Esteban de Manuel Keenoy
1 ISOE-LGI2P - Interoperable System & Organization Engineering
LGI2P - Laboratoire de Génie Informatique et Ingénierie de Production
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.
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Submitted on : Wednesday, November 20, 2019 - 5:00:10 PM
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J. Jean Bousquet, Holger J. Schünemann, Alkis Togias, Marina Erhola, Peter W. Hellings, et al.. Next-generation ARIA care pathways for rhinitis and asthma: a model for multimorbid chronic diseases: Review. Clinical and Translational Allergy, BioMed Central, 2019, 9 (1), art. 44 - 15 p. ⟨10.1186/s13601-019-0279-2⟩. ⟨hal-02373021⟩

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