Next-generation care pathways for allergic rhinitis and asthma multimorbidity: a model for multimorbid non-communicable diseases—Meeting Report (Part 1)
Jean Bousquet
(1, 2)
,
Nhan Pham-Thi
(3, 4)
,
Anna Bedbrook
(2)
,
Ioana Agache
(5)
,
Isabella Annesi-Maesano
(6, 7)
,
Ignacio Ansotegui
(8)
,
Josep M. Anto
(9, 10)
,
Claus Bachert
(11)
,
Samuel Benveniste
(12, 13)
,
Mike Bewick
(14)
,
Nils Billo
(15)
,
Sinthia Bosnic-Anticevich
(16)
,
Isabelle Bosse
(1)
,
Guy Brusselle
(11)
,
Moises A. Calderon
(17)
,
Giorgio Canonica
(18)
,
Luis Caraballo
(19)
,
Victoria Cardona
(20)
,
Ana Maria Carriazo
(21)
,
Eugene Cash
(22)
,
Lorenzo Cecchi
(23)
,
Derek Chu
(24)
,
Elaine Colgan
(25)
,
Elísio Costa
(26)
,
Alvaro Cruz
(27)
,
Wienczyslawa Czarlewski
(28)
,
Stephen Durham
(17)
,
Motohiro Ebisawa
(29)
,
Marina Erhola
(30)
,
Jean-Luc Fauquert
(31)
,
Wytske Fokkens
(32, 33)
,
Joao Fonseca
(34)
,
Nick Guldemond
(35)
,
Tomohisa Iinuma
(36)
,
Maddalena Illario
(37)
,
Ludger Klimek
(38)
,
Piotr Kuna
(39)
,
Violeta Kvedariene
(40)
,
Désirée Larenas-Linneman
(41)
,
Daniel Laune
(42)
,
Lan Le
(43)
,
Olga Lourenço
(44)
,
João Malva
(45)
,
Gert Marien
(32)
,
Enrica Menditto
(37)
,
Joaquim Mullol
(46)
,
Lars Münter
(47)
,
Yoshitaka Okamoto
(36)
,
Gabrielle L Onorato
(2)
,
Nikos Papadopoulos
(48, 49)
,
Maritta Perala
(50)
,
Oliver Pfaar
(51)
,
Abigail Phillips
(52)
,
Jim Phillips
,
Hilary Pinnock
(53)
,
Fabienne Portejoie
(2)
,
Pablo Quinones-Delgado
(54)
,
Ulysse Rodts
,
Boleslaw Samolinski
(55)
,
Mario Sanchez-Borges
(56)
,
Holger J. Schünemann
(57)
,
Mohamed H Shamji
(17)
,
David Somekh
,
Alkis Togias
(58)
,
Sanna Toppila-Salmi
(59)
,
Ioanna Tsiligianni
(60)
,
Omar Usmani
(61)
,
Samantha Walker
(62)
,
Dana Wallace
(22)
,
Arunas Valiulis
(40)
,
Rianne van Der Kleij
(63)
,
Maria Teresa Ventura
(64)
,
Sian Williams
,
Arzu Yorgancioglu
(65)
,
Torsten Zuberbier
(66)
,
Christine Rolland
(67)
1
CHRU Montpellier -
Centre Hospitalier Régional Universitaire [Montpellier]
2 MACVIA-LR - Contre les MAladies Chroniques pour un VIeillissement Actif en Languedoc-Roussillon
3 Service de Pneumologie Allergologie [CHU Necker]
4 IP - Institut Pasteur [Paris]
5 Transilvania University of Brasov
6 ESIM - Epidémiologie des maladies infectieuses et modélisation
7 iPLESP - Institut Pierre Louis d'Epidémiologie et de Santé Publique
8 Hospital Quirónsalud Bizkaia [Bilbao]
9 UPF - Universitat Pompeu Fabra [Barcelona]
10 CIBERESP - Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública = Consortium for Biomedical Research of Epidemiology and Public Health
11 Ghent University Hospital
12 CRI - Centre de Recherche en Informatique
13 AP-HP - Hôpital Cochin Broca Hôtel Dieu [Paris]
14 iQ4U consultants Ltd
15 University of Joensuu
16 The University of Sydney
17 Imperial College London
18 Humanitas Clinical and Research Center [Rozzano, Milan, Italy]
19 University of Cartagena - Institute for Immunological Research
20 Vall d'Hebron University Hospital [Barcelona]
21 Servicio Andaluz de Salud
22 NSU - Nova Southeastern University
23 Azienda Sanitaria di Prato
24 McMaster University [Hamilton, Ontario]
25 Social Services and Public Safety - DEPARTMENT OF HEALTH
26 Universidade do Porto = University of Porto
27 UFBA - Universidade Federal da Bahia
28 UCB Pharma, Colombes
29 Sagamihara National Hospital [Kanagawa, Japan]
30 National Institute for Health and Welfare [Helsinki]
31 CHU Estaing [Clermont-Ferrand]
32 EUFOREA - European Forum for Research and Education in Allergy and Airway Diseases
33 AMC - Academic Medical Center - Academisch Medisch Centrum [Amsterdam]
34 FMUP - Faculdade de Medicina da Universidade do Porto
35 Erasmus MC - Erasmus University Medical Center [Rotterdam]
36 Chiba University Hospital
37 "Federico II" University of Naples Medical School
38 Zentrum für Rhinologie und Allergologie [Wiesbaden, Germany]
39 MUL - Medical University of Łódź
40 Vilnius University [Vilnius]
41 Hospital Medica Sur [Mexico City, Mexico]
42 KYomed INNOV
43 HCMUT - Ho Chi Minh City University of Technology [Vietnam National University, HCM]
44 Health Sciences Research Centre - Faculty of Health Sciences and CICS-UB
45 UC - University of Coimbra [Portugal]
46 CIBERES - Centro de Investigación Biomédica en Red Enfermedades Respiratorias
47 Department of Public Health [Copenhagen]
48 University of Manchester [Manchester]
49 University of Athens Medical School [Athens]
50 University of Oulu
51 Philipps Universität Marburg = Philipps University of Marburg
52 Cardiff University
53 Edin. - University of Edinburgh
54 Regional Government for Equality
55 Medical University of Warsaw - Poland
56 Centro Médico Docente La Trinidad
57 Department of Clinical Epidemiology and Biostatistics and Medicine
58 NIAID-NIH - National Institute of Allergy and Infectious Diseases [Bethesda]
59 Helsingin yliopisto = Helsingfors universitet = University of Helsinki
60 UOC - University of Crete [Heraklion]
61 NHLI - National Heart and Lung Institute [London]
62 KCH - King's College Hospital
63 LUMC - Leiden University Medical Center
64 UNIBA - Università degli studi di Bari Aldo Moro = University of Bari Aldo Moro
65 Manisa Celal Bayar University
66 HU Berlin - Humboldt-Universität zu Berlin = Humboldt University of Berlin = Université Humboldt de Berlin
67 Association Asthme et Allergie
2 MACVIA-LR - Contre les MAladies Chroniques pour un VIeillissement Actif en Languedoc-Roussillon
3 Service de Pneumologie Allergologie [CHU Necker]
4 IP - Institut Pasteur [Paris]
5 Transilvania University of Brasov
6 ESIM - Epidémiologie des maladies infectieuses et modélisation
7 iPLESP - Institut Pierre Louis d'Epidémiologie et de Santé Publique
8 Hospital Quirónsalud Bizkaia [Bilbao]
9 UPF - Universitat Pompeu Fabra [Barcelona]
10 CIBERESP - Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública = Consortium for Biomedical Research of Epidemiology and Public Health
11 Ghent University Hospital
12 CRI - Centre de Recherche en Informatique
13 AP-HP - Hôpital Cochin Broca Hôtel Dieu [Paris]
14 iQ4U consultants Ltd
15 University of Joensuu
16 The University of Sydney
17 Imperial College London
18 Humanitas Clinical and Research Center [Rozzano, Milan, Italy]
19 University of Cartagena - Institute for Immunological Research
20 Vall d'Hebron University Hospital [Barcelona]
21 Servicio Andaluz de Salud
22 NSU - Nova Southeastern University
23 Azienda Sanitaria di Prato
24 McMaster University [Hamilton, Ontario]
25 Social Services and Public Safety - DEPARTMENT OF HEALTH
26 Universidade do Porto = University of Porto
27 UFBA - Universidade Federal da Bahia
28 UCB Pharma, Colombes
29 Sagamihara National Hospital [Kanagawa, Japan]
30 National Institute for Health and Welfare [Helsinki]
31 CHU Estaing [Clermont-Ferrand]
32 EUFOREA - European Forum for Research and Education in Allergy and Airway Diseases
33 AMC - Academic Medical Center - Academisch Medisch Centrum [Amsterdam]
34 FMUP - Faculdade de Medicina da Universidade do Porto
35 Erasmus MC - Erasmus University Medical Center [Rotterdam]
36 Chiba University Hospital
37 "Federico II" University of Naples Medical School
38 Zentrum für Rhinologie und Allergologie [Wiesbaden, Germany]
39 MUL - Medical University of Łódź
40 Vilnius University [Vilnius]
41 Hospital Medica Sur [Mexico City, Mexico]
42 KYomed INNOV
43 HCMUT - Ho Chi Minh City University of Technology [Vietnam National University, HCM]
44 Health Sciences Research Centre - Faculty of Health Sciences and CICS-UB
45 UC - University of Coimbra [Portugal]
46 CIBERES - Centro de Investigación Biomédica en Red Enfermedades Respiratorias
47 Department of Public Health [Copenhagen]
48 University of Manchester [Manchester]
49 University of Athens Medical School [Athens]
50 University of Oulu
51 Philipps Universität Marburg = Philipps University of Marburg
52 Cardiff University
53 Edin. - University of Edinburgh
54 Regional Government for Equality
55 Medical University of Warsaw - Poland
56 Centro Médico Docente La Trinidad
57 Department of Clinical Epidemiology and Biostatistics and Medicine
58 NIAID-NIH - National Institute of Allergy and Infectious Diseases [Bethesda]
59 Helsingin yliopisto = Helsingfors universitet = University of Helsinki
60 UOC - University of Crete [Heraklion]
61 NHLI - National Heart and Lung Institute [London]
62 KCH - King's College Hospital
63 LUMC - Leiden University Medical Center
64 UNIBA - Università degli studi di Bari Aldo Moro = University of Bari Aldo Moro
65 Manisa Celal Bayar University
66 HU Berlin - Humboldt-Universität zu Berlin = Humboldt University of Berlin = Université Humboldt de Berlin
67 Association Asthme et Allergie
Jean Bousquet
- Fonction : Auteur
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- ORCID : 0000-0002-4061-4766
Anna Bedbrook
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Ioana Agache
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Isabella Annesi-Maesano
- Fonction : Auteur
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Claus Bachert
- Fonction : Auteur
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- ORCID : 0000-0003-4742-1665
Guy Brusselle
- Fonction : Auteur
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- ORCID : 0000-0001-7021-8505
Victoria Cardona
- Fonction : Auteur
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Alvaro Cruz
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Wienczyslawa Czarlewski
- Fonction : Auteur
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- ORCID : 0000-0002-6180-3232
Motohiro Ebisawa
- Fonction : Auteur
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Wytske Fokkens
- Fonction : Auteur
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- ORCID : 0000-0003-4852-229X
Joao Fonseca
- Fonction : Auteur
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- ORCID : 0000-0002-0887-8796
Tomohisa Iinuma
- Fonction : Auteur
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- ORCID : 0000-0002-9940-5520
Ludger Klimek
- Fonction : Auteur
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- ORCID : 0000-0002-2455-0192
Piotr Kuna
- Fonction : Auteur
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- ORCID : 0000-0003-2401-0070
Olga Lourenço
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Enrica Menditto
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Joaquim Mullol
- Fonction : Auteur
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- ORCID : 0000-0003-3463-5007
Nikos Papadopoulos
- Fonction : Auteur
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Oliver Pfaar
- Fonction : Auteur
- PersonId : 767433
- ORCID : 0000-0003-4374-9639
Jim Phillips
- Fonction : Auteur
Ulysse Rodts
- Fonction : Auteur
David Somekh
- Fonction : Auteur
Ioanna Tsiligianni
- Fonction : Auteur
- PersonId : 798503
- ORCID : 0000-0001-7922-7491
Arunas Valiulis
- Fonction : Auteur
- PersonId : 777904
- ORCID : 0000-0002-0287-9915
Sian Williams
- Fonction : Auteur
Arzu Yorgancioglu
- Fonction : Auteur
- PersonId : 767975
- ORCID : 0000-0002-4032-0944
Torsten Zuberbier
- Fonction : Auteur
- PersonId : 759819
- ORCID : 0000-0002-1466-8875
Résumé
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 for integrated care with organizational health literacy. MASK (Mobile Airways Sentinel NetworK) (1), a new development of the ARIA (Allergic Rhinitis and its Impact on Asthma) initiative, and POLLAR (Impact of Air POLLution on Asthma and Rhinitis, EIT Health) (2), in collaboration with professional and patient organizations in the field of allergy and airway diseases, are proposing real-life integrated care pathways (ICPs) (3)-centred around the patient with rhinitis and using mHealth monitoring of environmental exposure (4).
An expert meeting took place at the Pasteur Institute in Paris, December 3, 2018. The aim was to discuss next-generation care pathways: (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) assessed by mobile technology.
The EU (5) and global political agendas are of great importance in supporting health care transformation. MASK has been recognized by DG Santé as a Good Practice (6) in the field of digitally-enabled, integrated, person-centred care.
The one-day meeting objectives were clear (Figure 1). The meeting was followed by a workshop. The present paper reports the background of the two-day meeting.
