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Appropriateness in allergic respiratory diseases health care in Italy: definitions and organizational aspects

机译：意大利过敏性呼吸道疾病医疗保健的适当性：定义和组织方面

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摘要

In a historical period in which sustainability of the National Health Service is mandatory because of the international economical situation, the limited available resources at national level and the tendency of passing from a “population medicine” model towards the concept of “individualized medicine”, the debate on appropriateness of medical and surgical procedures is of central importance. The choosing wisely campaign, started in United States in 2012 and then spread all over the world, tries to summarize which are the most inappropriate procedures for each medical and surgical speciality; as far as allergic respiratory diseases, the most relevant Italian societies and the American Academy defined the allergological procedures with the highest probability of inappropriateness. In Italy, a recent decree of the Ministry of Health defined a list of more than 200 procedures that will be considered as inappropriate in certain conditions; many of these procedures concern allergology, including allergic respiratory diseases. In this commentary we discuss the above mentioned decree and the concept of appropriateness in the field of allergic respiratory diseases, trying to figure out some practical considerations based on the current health resources available in the field of allergology in Italy.
机译：在一个历史时期，由于国际经济形势，国家卫生服务的可持续性是强制性的，在国家层面上可用资源有限，并且有从“种群医学”模式转向“个体化医学”概念的趋势，关于医疗和手术程序是否适当的辩论至关重要。明智的选择运动始于2012年在美国，然后遍及世界各地，试图总结出每种医学和外科专业最不适合的程序。就过敏性呼吸道疾病而言，最相关的意大利社会和美国科学院定义了过敏性程序的不适当可能性最高。在意大利，卫生部最近的一项法令确定了200多种程序的清单，这些程序在某些情况下将被视为不合适；这些程序中有许多涉及过敏学，包括过敏性呼吸道疾病。在这篇评论中，我们讨论了上述法令和过敏性呼吸系统疾病领域的适用性概念，试图根据意大利过敏学领域现有的健康资源，找出一些实际的考虑因素。

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