Department of Allergy and Clinical Immunology, Faculty of Medicine, Transylvania University, Brasov, Romania.
Allergy. 2013 Jul;68(7):836-43. doi: 10.1111/all.12150. Epub 2013 Jun 4.
The standard of care for allergies within a primary care (PC) setting has a strong influence on disease prevention and control, quality of life, and patient satisfaction. The level of knowledge of allergic diseases and the accessibility to regular follow-up are essential. EAACI and IPCRG conducted a survey to evaluate the actual status of care for allergic diseases in PC. Access to allergy and asthma specialist treatment was identified as the greatest 'unmet need'. The average waiting time between a referral and being seen in a public health service is usually >6 weeks. Referring the patients to an 'organ' specialist is much easier compared with referral to an allergist. Most PCPs have access to blood tests for total and specific IgE. Skin prick testing is available in only half of the cases, while provocation tests, allergen quantification in homes, and a dietician service are even less available. 20.6% of practices do not have access to allergy tests at all. Other issues raised were low political or general public awareness, lack of understanding by the patients of their allergic disease, the need to invest in PC, and to achieve sufficient competence at the appropriate level of care.
初级保健（PC）环境中过敏的标准护理对疾病预防和控制、生活质量和患者满意度有很大影响。了解过敏疾病的程度和定期随访的可及性至关重要。EAACI 和 IPCRG 进行了一项调查，以评估 PC 中过敏疾病护理的实际状况。获得过敏和哮喘专科治疗被认为是最大的“未满足需求”。在公共卫生服务中从转介到就诊的平均等待时间通常>6 周。与转介给过敏专家相比，将患者转介给“器官”专科医生要容易得多。大多数初级保健医生都可以进行总 IgE 和特异性 IgE 的血液检查。只有一半的病例可以进行皮肤点刺试验，而激发试验、家庭过敏原定量和营养师服务则更难获得。20.6%的实践根本无法进行过敏测试。提出的其他问题包括政治或公众意识低下、患者对其过敏疾病缺乏了解、需要投资于 PC 以及在适当的护理水平上达到足够的能力。
