Chantaphakul Hiroshi, Wang De Yun, Hang Tran Thi Thuy, Kadir Khizuan Abdul, Lam Hoang Thi, Navarro-Locsin Cecilia Gretchen, Nanthapisal Sira, Poblete Danilo, Tantilipikorn Pongsakorn, Tong Wong Hui, Nagrale Dinesh, Lucas Michaela
Division of Allergy and Clinical Immunology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Department of Otolaryngology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
World Allergy Organ J. 2024 Aug 22;17(9):100952. doi: 10.1016/j.waojou.2024.100952. eCollection 2024 Sep.
Allergic rhinitis (AR) has a high burden of disease in the Asia-Pacific region (APAC). Although guidelines provide recommendations regarding the diagnosis and treatment of AR, it is increasingly being recognised that there are gaps in their implementation. Patient-centred care involves accounting for the specific needs and desires of patients as well as including the patient in the decision-making process, and this may provide a means to reduce these gaps and consequently the burden of AR.
A group of 11 experts in immunology and otorhinolaryngology from APAC provided information regarding their practices and experiences in the management of AR through an online survey. The group then discussed the barriers and solutions for the implementation of patient-centred care across the patient journey in a face-to-face meeting.
Key barriers to the implementation of patient-centred care for AR in APAC included a lack of patient awareness of the condition and treatment options, low adherence to treatments, financial constraints for patients, and time constraints for physicians. The solutions proposed include improving the knowledge of the patients about their conditions, the use of shared decision-making, the consideration of patient characteristics when choosing treatments, and the use of outcome measures to aid the optimisation of patient care. We provide specific recommendations for clinical practice.
A greater focus on patient-centred approaches has the potential to improve the management of AR in APAC. More emphasis should be placed on each patient's specific health needs and desired outcomes.
变应性鼻炎（AR）在亚太地区疾病负担较高。尽管指南对AR的诊断和治疗提供了建议，但人们越来越认识到在指南实施方面存在差距。以患者为中心的护理包括考虑患者的特定需求和愿望，并让患者参与决策过程，这可能提供一种减少这些差距从而减轻AR负担的方法。
一组来自亚太地区的11名免疫学和耳鼻咽喉科专家通过在线调查提供了他们在AR管理方面的实践和经验信息。然后该小组在一次面对面会议上讨论了在患者就医过程中实施以患者为中心护理的障碍和解决方案。
亚太地区在AR患者中实施以患者为中心护理的主要障碍包括患者对病情和治疗选择的认识不足、治疗依从性低、患者经济受限以及医生时间受限。提出的解决方案包括提高患者对自身病情的了解、采用共同决策、在选择治疗方法时考虑患者特征以及使用结果指标来帮助优化患者护理。我们为临床实践提供了具体建议。
更加注重以患者为中心的方法有可能改善亚太地区AR的管理。应更多地关注每位患者的特定健康需求和期望结果。
