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

doi:10.5114/ada.2019.84288

eISSN: 2299-0046
ISSN: 1642-395X

Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii

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abstract:

Original paper

Organizational model for the management of patients with chronic allergic conditions

Edyta Krzych-Fałta

¹

,

Mira Lisiecka-Biełanowicz

¹

,

Konrad Furmańczyk

^{1, 2}

,

Barbara Piekarska

¹

,

Oksana Wojas

¹

,

Bolesław Samoliński

¹

Department of the Environmental Hazards Prevention and Allergology, Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland
Faculty of Applied Informatics and Mathematics, Warsaw University of Life Sciences, Warsaw, Poland

Adv Dermatol Allergol 2019; XXXVI (3): 339-345

DOI: https://doi.org/10.5114/ada.2019.84288

Online publish date: 2019/06/19

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AMA

Krzych-Fałta E, Lisiecka-Biełanowicz M, Furmańczyk K, Piekarska B, Wojas O, Samoliński B. Organizational model for the management of patients with chronic allergic conditions. Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii. 2019;36(3):339-345. doi:10.5114/ada.2019.84288.

APA

Krzych-Fałta, E., Lisiecka-Biełanowicz, M., Furmańczyk, K., Piekarska, B., Wojas, O.,  & Samoliński, B. (2019). Organizational model for the management of patients with chronic allergic conditions. Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii, 36(3), 339-345. https://doi.org/10.5114/ada.2019.84288

Chicago

Krzych-Fałta, Edyta, Mira Lisiecka-Biełanowicz, Konrad Furmańczyk, Barbara Piekarska, Oksana Wojas,  and Bolesław Samoliński. 2019. "Organizational model for the management of patients with chronic allergic conditions". Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii 36 (3): 339-345. doi:10.5114/ada.2019.84288.

Harvard

Krzych-Fałta, E., Lisiecka-Biełanowicz, M., Furmańczyk, K., Piekarska, B., Wojas, O.,  and Samoliński, B. (2019). Organizational model for the management of patients with chronic allergic conditions. Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii, 36(3), pp.339-345. https://doi.org/10.5114/ada.2019.84288

MLA

Krzych-Fałta, Edyta et al. "Organizational model for the management of patients with chronic allergic conditions." Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii, vol. 36, no. 3, 2019, pp. 339-345. doi:10.5114/ada.2019.84288.

Vancouver

Krzych-Fałta E, Lisiecka-Biełanowicz M, Furmańczyk K, Piekarska B, Wojas O, Samoliński B. Organizational model for the management of patients with chronic allergic conditions. Advances in Dermatology and Allergology/Postępy Dermatologii i Alergologii. 2019;36(3):339-345. doi:10.5114/ada.2019.84288.

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:

Organizational model for the management of patients with chronic allergic conditions

Edyta Krzych-Fałta 1 , Mira Lisiecka-Biełanowicz 1 , Konrad Furmańczyk 1, 2 , Barbara Piekarska 1 , Oksana Wojas 1 , Bolesław Samoliński 1

allergies, organizational model, healthcare educator

Edyta Krzych-Fałta

¹

,

Mira Lisiecka-Biełanowicz

¹

,

Konrad Furmańczyk

^{1, 2}

,

Barbara Piekarska

¹

,

Oksana Wojas

¹

,

Bolesław Samoliński

¹