Executive summary

The Quality of Care initiative aims to improve AD patient care across the globe

By exploring, documenting and sharing features of good practice in caring for AD and associated comorbidities, the initiative aims to ensure all patients globally can benefit from the best care possible
Drive improvements

Drive improvements in patient quality of care through the development of AD-specific interventions

Facilitate greater collaboration

Facilitate greater collaboration between dermatologists, other specialists and other HCPs

Support centres globally

Support centres globally in their pursuit of delivering standardised high quality care

Empower patients

Empower patients through the promotion of active patient participation in managing their disease

Establish a large and engaged network

Establish a large and engaged network of AD experts passionate about raising the standard of AD care

Raise awareness

Raise awareness of the current challenges faced in the treatment and management of AD

KPMG combined primary and secondary research with guidance from experts in AD and its associated comorbidities

Through our established methodology, KPMG conducted a comprehensive examination of AD care in order to find and document examples of good practice

Conduct literature review

Review key available evidence on recommended good practice care and management (e.g. local and international guidelines, academic/clinical publications)

Carry out site visits

Observe and understand how practitioners deliver good practice and overcome key challenges in AD care by conducting HCP interviews

Documenting good practice

Record and affirm interventions specific to each centre through collaboration with the centres visited

Collate and arrange all interventions by commonalities to identify the key intervention themes

Review findings with AD experts

Facilitate expert reviews in order to provide sufficient challenge to the findings and thereby establish the global applicability and efficacy of the findings

Finalise Global AD report

Document the findings and recommendations of the experts in a Global AD report

In order to document examples of AD care, we visited 32 centres from across the globe

Utilising expert guidance and collaboration, KPMG identified ten good practice interventions along the patient pathway

To aid implementation, these interventions were prioritised by the experts and substantiated by a series of case studies to demonstrate the multiple ways through which they can be employed in patient care

Ensuring patients receive a proper disease diagnosis, evaluation and disease assessment using established instruments, in order to inform their management approach in line with guidelines and recommendations

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Providing education to patients, relatives and care givers, and communicating it in a way that improves their understanding of atopic dermatitis (AD) and how to effectively manage it

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Establishing a multidisciplinary team or network to manage complex patients that follows a structured and coordinated approach to provide holistic patient care

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Performing regular monitoring and evaluation of AD care quality at centre and amongst wider network

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Working collaboratively and exchanging information with Patient Groups on activities and initiatives aimed at improving AD management, care access and patient QoL

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Enabling access to psychosocial support to help patients manage the burden and impact of AD on their psychological, emotional and social wellbeing

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Empowering and enabling other team members (e.g. nurses, physician assistants, pharmacists) to support physicians with AD patient education and management, for more effective and efficient care delivery

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Delivering, facilitating or enabling education for HCPs involved in the care of AD patients directly or indirectly regarding a recommended management approach

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Forming a collaborative network within and across centres (including both primary and secondary care) to optimise research, patient care and knowledge sharing

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Using electronic, mobile and tele-technology to improve the quality and efficiency of care delivered to AD patients

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All good practice interventions identified from the centres were mapped across the patient pathway

These good practice interventions were identified as being relevant across all different stages of the patient pathway

The entirety of the AD patient pathway was identified as having the potential to drive improvements in patient outcomes through the effective implementation of the ten AD interventions

Awareness and Presentation Symptom presentation

Diagnosis and Referral In secondary and tertiary care

Treatment and Management Medical and non-medical management

Follow-up Monitoring of chronic disease/flare up