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Allergy Asthma Immunol Res. 2017 May;9(3):265-271. doi: 10.4168/aair.2017.9.3.265.

Unmet Primary Physicians' Needs for Allergic Rhinitis Care in Korea.

Author information

1
Department of Pediatrics, Pediatric Allergy and Respiratory Center, Soonchunhyang University College of Medicine, Seoul, Korea.
2
SCH Biomedical Informatics Research Unit, Soonchunhyang University Hospital, Seoul, Korea.
3
Department of Otorhinolaryngology, Inha University College of Medicine, Incheon, Korea.
4
Department of Biostatistic Consulting, Clinical Trial Center, Soonchunhyang Medical Center, Bucheon, Korea.
5
MBL Children's Hospital, Daejeon, Korea.
6
Department of Otorhinolaryngology-Head and Neck Surgery, Hallym University Chuncheon Sacred Heart Hospital and Nano-Bio Regenerative Medical Institute, Hallym University College of Medicine, Chuncheon, Korea.
7
Department of Pulmonology, Allergy and Critical Care Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
8
Department of Pediatrics, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.
9
Wooridul Private Internal Clinic, Gwangju, Korea.
10
Department of Pediatrics, Inha University Hospital, Inha University College of Medicine, Incheon, Korea.
11
Department of Pediatrics, Wonkwang University Sanbon Hospital, Wonkwang University College of Medicine, Gunpo, Korea.
12
A & A Clinic, Seongnam, Korea.
13
Department of Otorhinolaryngology, Head and Neck Surgery, Dong-A University College of Medicine, Busan, Korea.
14
Department of Otorhinolaryngology-Head & Neck Surgery, Catholic Kwandong Universtiy, International St. Mary's Hospital, Incheon, Korea.
15
Division of Allergy and Clinical Immunology, Department of Internal Medicine, Seoul National University Boramae Medical Center, Seoul, Korea.
16
Division of Pulmonology and Allergy, Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea.
17
GF Internal Medicine Allergy Clinic, Seoul, Korea.
18
Lee & Hong ENT, Sleep and Cosmetic Center, Seongnam, Korea.
19
Cho & Park ENT Clinics, Suwon, Korea.
20
Derpartment of Pediatrics, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea.
21
Department of Pulmonology and Allergy, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea. yoolina@korea.ac.kr.
22
Department of Pediatrics, Korea University Anam Hospital, Seoul, Korea.
23
Allergy Immunology Center, Korea University, Seoul, Korea. mdqueen@hallym.or.kr.
24
Department of Internal Medicine, Chonnam National University Medical School & Hospital, Gwangju, Korea.

Abstract

Allergic rhinitis (AR) is one of the most common chronic allergic respiratory diseases worldwide. Various practical guidelines for AR have been developed and updated to improve the care of AR patients; however, up to 40% patients remain symptomatic. The unmet need for AR care is one of the greatest public health problems in the world. The gaps between guideline and real-world practice, and differences according to the region, culture, and medical environments may be the causes of unmet needs for AR care. Because there is no evidence-based AR practical guideline reflecting the Korean particularity, various needs are increasing. The purpose of the study was to evaluate whether existing guidelines are sufficient for AR patient management in real practice and whether development of regional guidelines to reflect regional differences is needed in Korea. A total of 99 primary physicians comprising internists, pediatricians, and otolaryngologists (n=33 for each) were surveyed by a questionnaire relating to unmet needs for AR care between June 2 and June 16 of 2014. Among 39 question items, participants strongly agreed on 15 items that existing guidelines were highly insufficient and needed new guidelines. However, there was some disagreement according to specialties for another 24 items. In conclusion, the survey results demonstrated that many physicians did not agree with the current AR guideline, and a new guideline reflecting Korean particularity was needed.

KEYWORDS:

Allergic rhinitis; needs assessment; survey and questionnaires

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