eISSN: 2299-0046
ISSN: 1642-395X
Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii
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SCImago Journal & Country Rank
3/2019
vol. 36
 
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abstract:
Original paper

Organizational model for the management of patients with chronic allergic conditions

Edyta Krzych-Fałta
,
Mira Lisiecka-Biełanowicz
,
Konrad Furmańczyk
,
Barbara Piekarska
,
Oksana Wojas
,
Bolesław Samoliński

Adv Dermatol Allergol 2019; XXXVI (3): 339-345
Online publish date: 2019/06/19
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Introduction
Allergic conditions present a serious problem for the Polish population. The most common form of allergy is allergic rhinitis. Due to its chronic nature and a complex pathophysiological mechanism the allergic rhinitis could be associated with others comorbidities. That is why it is a poses a considerable bio-psychosocial problem both for the affected individual patient and for the healthcare system.

Aim
To identify organizational factors and analyse their effect on patients with chronic allergic conditions.

Material and methods
The study group comprised 9,370 respondents (including 1,967 patients with allergic rhinitis (AR), 372 patients with self-reported bronchial asthma (BA1), and 351 patients with physician-diagnosed bronchial asthma (BA2)) aged from 20 to 44 years, some of whom were additionally examined (skin pick tests) in an outpatient setting. The findings obtained in the outpatient subgroup (n = 4,783) were analysed in more detail. The study was based on translated and validated ECRHS and ISAAC questionnaires.

Results
Over a half of the evaluated patients with AR visited a specialist due to their symptoms. Some respondents neither visited their doctor regularly nor had regular check-ups, which undoubtedly affected their quality of life.

Conclusions
The authors propose an organizational model incorporating the position of a healthcare educator (HE) as a coordinator in the process of managing chronic allergic conditions in adult patients within the Polish healthcare system. Adult patient education by the HE would include introducing the principles of secondary and tertiary prevention in order to improve the quality of life in patients with chronic allergic conditions.

keywords:

allergies, organizational model, healthcare educator

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