How a Novel Approach of Allergy Call Center Improved the Management of the Anti-COVID Vaccination Campaign in Piedmont: Italy.

IF 3.8 4区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Iuliana Badiu, Stefania Nicola, Nicolò Rashidy, Stefano Della Mura, Daniele Tarrini, Virginia Bernardi, Mara Gallicchio, Irene Ridolfi, Elena Saracco, Erika Montabone, Marina Mazzola, Luca Lo Sardo, Giada Geronazzo, Ludovica Comola, Antonietta Apricena, Ilaria Vitali, Anna Quinternetto, Lucrezia Alessi, Federico Meli, Marzia Boem, Marcelo Teocchi, Salvatore Schinocca, Maria Carmen Rita Azzolina, Federica Corradi, Simone Negrini, Giovanni Rolla, Richard Borrelli, Luisa Brussino
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引用次数: 0

Abstract

Objective: The anti-COVID vaccination campaign has led to a significant increase in the demand for allergology consultations in patients considered at risk of reaction to anti-COVID-19 vaccines. This study aims to describe the experience of the vaccination campaign held in Piedmont (Italy) which developed a new service of Allergy Call Center (ACC) thus providing for the screening and management of allergy high-risk patients during pandemic.

Study design: A retrospective analysis was performed on all patients considered at high risk for the development of allergic reactions who were referred by the Immunology and Allergy Unit of Azienda Ospedaliera Ordine Mauriziano in Turin, Italy, between December 2020 and December 2022 and also on ACC consultations.

Methods: During the COVID-19 pandemic, Piedmont Region instituted the ACC, active from May 10th, 2021 to December 31st 2022, to allow vaccinating doctors to require a telephonic consultation for patients who were considered at high risk for the development of allergic reactions. If further diagnostic evaluations were required, the ACC scheduled a visit with a Consultant of the Unit to better assess the clinical situation of the patient. Furthermore, patients referred by General Practitioners, Occupational Doctors and other consultants were also evaluated by the Unit when required.

Results: During the operational period the ACC received a total of 15,865 calls and referred only 336 patients to the unit (27.4% of the total referrals), while General Practitioners referred 499 patients (40.8%), Occupational Doctors referred 61 patients (4.9%), and other consultants referred 326 patients (26.6%).

Conclusions: Evaluation and management of a large volume of requests seemed to be facilitated by a proactive framework for screening patients at high risk for allergic reactions as the ones referred by our ACC. This approach led to a prominent decrease in allergological visits to our tertiary care Centre, reducing the waiting times and providing additional support for both patients and healthcare providers, thus allowing the vaccinations to be more easily handled.

过敏症呼叫中心的新方法如何改善了皮埃蒙特省反可逆性脊髓灰质炎疫苗接种活动的管理:意大利。
目的:抗 COVID 疫苗接种活动导致被认为有可能对抗 COVID-19 疫苗产生反应的患者的过敏咨询需求大幅增加。本研究旨在描述皮埃蒙特(意大利)开展疫苗接种活动的经验,该活动开发了一项新的过敏呼叫中心(ACC)服务,从而在大流行期间为过敏高危患者提供筛查和管理服务:研究设计:对 2020 年 12 月至 2022 年 12 月期间由意大利都灵 Azienda Ospedaliera Ordine Mauriziano 医院免疫学和过敏科转诊的所有被视为过敏反应高危患者以及 ACC 咨询患者进行了回顾性分析:在 COVID-19 大流行期间,皮埃蒙特大区设立了 ACC,从 2021 年 5 月 10 日至 2022 年 12 月 31 日,允许接种医生要求对被视为过敏反应高危患者进行电话咨询。如果需要进一步的诊断评估,ACC 会安排该部门的顾问出诊,以更好地评估患者的临床情况。此外,由全科医生、职业医生和其他顾问转介的病人也会在必要时接受该中心的评估:结果:在运行期间,ACC 共接到 15,865 个电话,仅转介了 336 名病人(占转介总数的 27.4%),而全科医生转介了 499 名病人(占 40.8%),职业医生转介了 61 名病人(占 4.9%),其他顾问转介了 326 名病人(占 26.6%):对大量请求的评估和管理似乎得益于一个积极主动的筛查框架,即对过敏反应高风险患者的筛查,就像我们的 ACC 转介的患者一样。这种方法显著减少了我们三级医疗中心的过敏就诊人数,缩短了等候时间,并为患者和医疗服务提供者提供了额外支持,从而使疫苗接种工作更容易处理。
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来源期刊
CiteScore
10.70
自引率
1.40%
发文量
57
审稿时长
19 weeks
期刊介绍: The Journal of Epidemiology and Global Health is an esteemed international publication, offering a platform for peer-reviewed articles that drive advancements in global epidemiology and international health. Our mission is to shape global health policy by showcasing cutting-edge scholarship and innovative strategies.
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