[EVALUATING CHALLENGES IN ALLERGY CARE: INSIGHTS FROM THE SAITAMA PREFECTURE TELEPHONE CONSULTATION PROGRAM FOR ALLERGIC DISEASES].

Q4 Medicine

Japanese Journal of Allergology Pub Date : 2026-01-01 DOI:10.15036/arerugi.75.33

Takeshi Koga, Toshiko Itazawa, Kazuyuki Nakagome, Tomoyuki Soma, Koichiro Nakamura, Kenichi Tokuyama, Makoto Nagata

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引用次数: 0

Abstract

Background: In Saitama Prefecture, a telephone consultation program for allergic diseases started in 2018 under the "Allergic Disease Consultation Office" initiative.

Objective: This study aimed to analyze consultation content and identify the current status and challenges of allergy care in the prefecture.

Methods: In total, 1016 consultation records from 2018 to 2025 were analyzed using a qualitative inductive approach. Trends over the fiscal years were examined using the Cochran-Armitage trend test.

Results: The records were classified into five main categories. Food allergies were divided into 13 subcategories and 32 codes, while other allergic disease had 13 subcategories. "Consultation on Medical Visits" accounted for 237 cases (23.3%), covering specialized care, such as oral food challenge testing, adult food allergy management, systemic therapy for atopic dermatitis, and sublingual immunotherapy. Food allergy-related consultations comprised 668 cases (65.7%), and most were under "Dietary and Nutritional Guidance" (106 cases, 10.4%) and "Management in Educational Settings" (83 cases, 8.2%). A decrease in food allergy consultations among elementary school children was also noted (z=-2.77, p < 0.01).

Conclusion: Telephone consultations effectively visualize community healthcare needs. Future challenges include improving adult allergy services, enhancing support in educational settings, and strengthening interprofessional collaboration.

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[评估过敏护理的挑战：来自埼玉县过敏疾病电话咨询计划的见解]。

背景：在埼玉县，根据“过敏性疾病咨询办公室”倡议，于2018年启动了过敏性疾病电话咨询计划。目的：分析本县过敏护理的会诊内容，了解本县过敏护理的现状及面临的挑战。方法：采用定性归纳方法对2018 - 2025年1016份会诊记录进行分析。使用Cochran-Armitage趋势检验检验了各财政年度的趋势。结果：病历主要分为5类。食物过敏分为13个亚类和32个代码，而其他过敏性疾病有13个亚类。“就诊咨询”占237例（23.3%），包括专门护理，如口腔食物挑战试验、成人食物过敏管理、特应性皮炎的全身治疗和舌下免疫治疗。与食物过敏相关的咨询有668例（65.7%），其中大多数是在“饮食和营养指导”（106例，10.4%）和“教育管理”（83例，8.2%）下进行的。小学生的食物过敏咨询也有所减少（z=-2.77, p < 0.01）。结论：电话咨询能有效地可视化社区卫生保健需求。未来的挑战包括改善成人过敏服务，加强教育环境的支持，加强专业间的合作。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Japanese Journal of Allergology Medicine-Immunology and Allergy

CiteScore

0.30

自引率

0.00%

发文量

期刊介绍： The Japanese Society of Allergology is made up of medical researchers and clinical physicians who share an involvement in the study of allergies and clinical immunology. Clinical subspecialties include such allergies and immune-response disorders as bronchial asthma, hypersensitivity pneumonitis, collagen disease, allergic rhinitis, pollenosis, hives, atopic dermatitis, and immunodeficiency. However, there are many patients afflicted by other allergies as well. The Society considers all such patients and disorders within its purview.