Shared learning for chronic conditions: a methodology for developing the Royal College of Paediatrics and Child Health (RCPCH) care pathways for children with allergies

Warner, John O.; Lloyd, Kate

doi:10.1136/adc.2011.212654

Cited by 11 publications

(13 citation statements)

References 55 publications

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“…This pathway was developed around the competences required to diagnose and optimally manage food allergy. It has been designed to complement the other RCPCH care pathways for children with allergies,30 in particular the RCPCH care pathway for children with anaphylaxis 59…”

Section: Resultsmentioning

confidence: 99%

“…Used in conjunction with the other papers within the RCPCH allergy care pathway portfolio (in press),30 59 62–64 it represents an opportunity to improve the lives of children with allergies in our community.…”

Section: Resultsmentioning

confidence: 99%

“…The aims and purpose of the RCPCH care pathway project are described separately in this supplement 30. It remains a concern that the quality of care for children with suspected food allergy in the UK is currently variable, and often poor.…”

Section: Discussionmentioning

confidence: 99%

“…The need and requirement for care pathways is described separately in this supplement 30. For the purposes of the pathway, ‘children’ is an inclusive term that refers to infants, children and young people (0–18 years).…”

Section: Introductionmentioning

confidence: 99%

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The RCPCH care pathway for food allergy in children: an evidence and consensus based national approach

Lloyd²,

Arkwright³

et al. 2011

Archives of Disease in Childhood

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The range of manifestations of food allergy/intolerance is much more diverse than hitherto recognised and diagnosis can be problematic as many patients do not have classical IgE mediated disease. The pathway provides a guide for training and development of services to facilitate improvements in delivery as close to the patient's home as possible. The authors recommend that this pathway is implemented locally by a multidisciplinary team with a focus on creating networks.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The RCPCH care pathway for food allergy in children: an evidence and consensus based national approach

Lloyd²,

Arkwright³

et al. 2011

Archives of Disease in Childhood

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“…The need and requirement for care pathways is described separately in this supplement 14. For the purposes of the pathway, ‘children’ is an inclusive term that refers to infants, children and young people (0–18 years of age).…”

Section: Introductionmentioning

confidence: 99%

The RCPCH care pathway for children with Urticaria, Angio-oedema or Mastocytosis: an evidence and consensus based national approach

Leech

Grattan

Lloyd

et al. 2011

Archives of Disease in Childhood

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Improving allergy management in the primary care network - a holistic approach

Jutel

Angier

Palkonen

et al. 2013

Allergy

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The incidence, prevalence and costs of allergy have increased substantially in recent decades in many parts of Europe. The dominant model of allergy care within Europe is at the moment specialist-based. This model will become unsustainable and undeliverable with increasing disease prevalence. One solution to increase provision of allergy services is to diversify the providers. A new model for the provision of allergy care in the community with the general practitioner at the forefront is proposed. Pre-and postgraduate allergy education and training, implementation of pathways of care, allergy specialization and political will to generate resources and support are essential to achieve this new model. In parallel the holistic view of allergic diseases should be maintained, including assessment of severity and risk, psychological factors and health-care related costs in the context of the patient-centered decision making process.IgE-mediated allergies constitute an important and increasing health problem responsible for significant morbidity and potential mortality. Correct diagnosis with identification of all offending allergens is an absolute prerequisite for appropriate management, including allergen-specific immunotherapy. In most of the European countries, the majority of patients who seek medical advice for allergy and asthma are first seen in a primary care (PC) setting partly because relative ease of access but also because of the paucity of trained allergists to meet the ever growing demand. Hence, the importance of the general practitioner (GP) as the first-line worker for correct diagnosis and management of allergic diseases is beyond any doubt.The significant workload of a PC setting and the impressive panel of pathologies managed there call for consideration of several issues:• There is a predictable 'risk' that allergic diseases are under diagnosed and incorrectly treated.• A simplified pathway for management of allergic diseases should be available and adapted to local (national) conditions.• Clear referral criteria should be implemented, validated by local (national) circumstances and by cost-efficiency evaluation.• While trying to simplify the management pathway, the holistic view of allergic diseases should be maintained, including assessment of severity and risk, psychological and healthcare-related costs in the context of the patientcentered decision-making process.• Educational programs should be implemented both for PC settings and the general public.• Empowering the allergic patient in the decision-making process together with raising awareness of the patients/ general public and redefining 'allergy' in a patient friendly way is of paramount importance.

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Shared learning for chronic conditions: a methodology for developing the Royal College of Paediatrics and Child Health (RCPCH) care pathways for children with allergies

Cited by 11 publications

References 55 publications

The RCPCH care pathway for food allergy in children: an evidence and consensus based national approach

The RCPCH care pathway for food allergy in children: an evidence and consensus based national approach

The RCPCH care pathway for children with Urticaria, Angio-oedema or Mastocytosis: an evidence and consensus based national approach

Improving allergy management in the primary care network - a holistic approach

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