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Clinical management. Getting up to scratch.

David Price1, Sue Cross

  • 1Aberdeen University.

The Health Service Journal
|July 22, 2005
PubMed
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Allergic diseases are common in primary care and hospital settings. Developing a national allergy service is recommended to improve patient care, with local commissioning of allergy clinics as a key strategy.

Area of Science:

  • Allergy and immunology
  • Public health
  • Healthcare policy

Background:

  • Allergic diseases represent a significant burden on healthcare systems, accounting for 6% of general practitioner (GP) consultations and 0.6% of hospital admissions.
  • A critical report highlighted the need for a national allergy service, yet government action has been lacking.

Purpose of the Study:

  • To emphasize the need for improved allergy services.
  • To propose actionable strategies for enhancing local allergy care within primary care settings.

Main Methods:

  • Analysis of healthcare utilization statistics for allergic diseases.
  • Review of governmental and parliamentary reports on allergy services.
  • Examination of commissioning models for primary care.

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Main Results:

  • Allergic diseases contribute substantially to primary care and hospital workloads.
  • There is a recognized deficit in national allergy service provision.
  • Primary care trusts have the potential to improve local services through strategic commissioning.

Conclusions:

  • Improving allergy services requires both national strategic development and local implementation.
  • Commissioning practice-based allergy clinics or integrated allergy/asthma services can enhance local care delivery.