Background In all societies, the burden and cost of allergic and chronic
respiratory diseases are increasing rapidly. Most economies are
struggling to deliver modern health care effectively. There is a need to
support the transformation of the health care system into integrated
care with organizational health literacy. Main body As an example for
chronic disease care, MASK (Mobile Airways Sentinel NetworK), a new
project of the ARIA (Allergic Rhinitis and its Impact on Asthma)
initiative, and POLLAR (Impact of Air POLLution on Asthma and Rhinitis,
EIT Health), in collaboration with professional and patient
organizations in the field of allergy and airway diseases, are proposing
real-life ICPs centred around the patient with rhinitis, and using
mHealth to monitor environmental exposure. Three aspects of care
pathways are being developed: (i) Patient participation, health literacy
and self-care through technology-assisted “patient activation”, (ii)
Implementation of care pathways by pharmacists and (iii) Next-generation
guidelines assessing the recommendations of GRADE guidelines in rhinitis
and asthma using real-world evidence (RWE) obtained through mobile
technology. The EU and global political agendas are of great importance
in supporting the digital transformation of health and care, and MASK
has been recognized by DG Sante as a Good Practice in the field of
digitally-enabled, integrated, person-centred care. Conclusion In 20
years, ARIA has considerably evolved from the first multimorbidity
guideline in respiratory diseases to the digital transformation of
health and care with a strong political involvement