Imperial College London
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MrsHeatherHanna

Faculty of Medicine, Department of Infectious Disease

Senior Clinical Teaching Fellow
 
 
 
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Contact

 

+44 (0)20 7594 7214h.hanna Website CV

 
 
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Location

 

250Medical SchoolSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Daniels:2021:10.1016/j.waojou.2021.100584,
author = {Daniels, L and Barker, S and Chang, Y-S and Chikovani, T and DunnGalvin, A and Gerdts, JD and Gerth, Van Wijk R and Gibbs, T and Villarreal-Gonzalez, RV and Guzman-Avilan, RI and Hanna, H and Hossny, E and Kolotilina, A and Ortega, Martell JA and Pacharn, P and de, Lira Quezada CE and Sibanda, E and Stukus, D and Tham, EH and Venter, C and Gonzalez-Diaz, SN and Levin, ME and Martin, B and Munblit, D and Warner, JO},
doi = {10.1016/j.waojou.2021.100584},
journal = {World Allergy Organization Journal},
title = {Harmonizing allergy care–integrated care pathways and multidisciplinary approaches},
url = {http://dx.doi.org/10.1016/j.waojou.2021.100584},
volume = {14},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - There is a wide time gap between the publication of evidence and the application of new knowledge into routine clinical practice. The consequence is sub-optimal outcomes, particularly concerning for long-term relapsing/remitting conditions such as allergic diseases. In response, there has been a proliferation of published guidelines which systematically review evidence for the gold-standard management of most allergic disorders. However, this has not necessarily been followed by improved outcomes, partly due to a lack of coordination across the patient pathway. This has become known as the "second translational gap". A proposed solution is the development and implementation of integrated care pathways (ICPs) to optimize patient outcomes, with the notion that evidence-based medicine requires evidence-based implementation. ICP implementation is shown to improve short-term outcomes for acute conditions and routine surgery, including reduced length of hospital stay, improved documentation and improved patient safety. However, this improvement is not reflected in patient experience or patient-centered functional outcomes. The implementation of life-long, cost-effective interventions within comprehensive pathways requires a deep appreciation for complexity within allergy care.We promote an evidence-based methodology for the implementation of ICPs for allergic disorders in which all stakeholders in allergy care are positioned equally and encouraged to contribute, particularly patients and their caregivers. This evidence-based process commences with scoping the unmet needs, followed by stakeholder mapping. All stakeholders are invited to meetings to develop a common vision and mission through the generation of action/effect diagrams which helps build concordance across the agencies. Dividing the interventions into achievable steps and reviewing with plan/do/study/act cycles will gradually modify the pathway to achieve the best outcomes. While the management guidel
AU  - Daniels,L
AU  - Barker,S
AU  - Chang,Y-S
AU  - Chikovani,T
AU  - DunnGalvin,A
AU  - Gerdts,JD
AU  - Gerth,Van Wijk R
AU  - Gibbs,T
AU  - Villarreal-Gonzalez,RV
AU  - Guzman-Avilan,RI
AU  - Hanna,H
AU  - Hossny,E
AU  - Kolotilina,A
AU  - Ortega,Martell JA
AU  - Pacharn,P
AU  - de,Lira Quezada CE
AU  - Sibanda,E
AU  - Stukus,D
AU  - Tham,EH
AU  - Venter,C
AU  - Gonzalez-Diaz,SN
AU  - Levin,ME
AU  - Martin,B
AU  - Munblit,D
AU  - Warner,JO
DO  - 10.1016/j.waojou.2021.100584
PY  - 2021///
SN  - 1939-4551
TI  - Harmonizing allergy care–integrated care pathways and multidisciplinary approaches
T2  - World Allergy Organization Journal
UR  - http://dx.doi.org/10.1016/j.waojou.2021.100584
UR  - https://www.sciencedirect.com/science/article/pii/S1939455121000788?via%3Dihub
UR  - http://hdl.handle.net/10044/1/92101
VL  - 14
ER  -
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