A multi-disciplinary approach to the diagnosis and management of
allergic diseases: An EAACI Task Force
Abstract
Background: Guidelines for management of patients with allergic
conditions are available, but the added value of nurses, allied health
care professionals (AHPs) and general practitioners (GPs), in the
management of allergic disease has not been fully clarified. The
European Academy of Allergy and Clinical Immunology (EAACI) appointed a
task force to explore this issue. Aim: To investigate the added value of
nurses, AHPs and GPs in management of allergic diseases, in an
integrated model of care. Methods: A search was made of peer-reviewed
literature published between 2010 and December 2020 (Cochrane Library,
PubMed, and CINAHL) on the involvement of the various specific health
care providers (HCPs) in the management of allergic diseases. Results:
Facilitative models of care for patients with allergies can be achieved
if HCP collaborate in the diagnosis and management. Working in
multidisciplinary teams (MDT) can increase patients’ understanding of
the disease, adherence to treatment, self-care capabilities, and
ultimately improve quality of life. The MDT competencies and procedures
can be improved and enhanced in a climate of mutual respect and shared
values, and with inclusion of patients in the planning of care.
Patient-centered communication among HCPs and emphasis on the added
value of each profession can create an effective integrated model of
care for patients with allergic diseases. Conclusion: Nurses, AHPs, and
GPs, both individually and in collaboration, can contribute to the
improvement of the management of patients with allergic disease. The
interaction between the HCPs and the patients themselves can ensure
maximum support for people with allergies.