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Table 1 Advantages and limitations of technology in immunotherapy

From: Use of new technology to improve utilization and adherence to immunotherapy

Technology

Advantages

Limitations

Electronic Medical Records (EMRs)

-Improve efficiency and workflow

-No studies have evaluated if this modality improves utilization and adherence of immunotherapy

-Allergy/immunology specific modules allow for management of injections, documentation of skin test results, and immunotherapy documentation and billing.

-Cost

 

-Some modules can generate reports of patients late for injections and can create batch reminder e-mails/letters

 

Commercially available devices aimed at reducing pain with injections

-Use of vibration in the vicinity of intended injection site supposedly reduces pain associated with injections

-No studies have evaluated if this modality improves utilization and adherence of immunotherapy

 

-May improve patient satisfaction and adherence to treatment.

-Cost

Social Media

   Twitter

-Increasing presence of allergists using Twitter to disseminate information

-No studies have evaluated if these modalities improves utilization and adherence of immunotherapy

 

-Twitter is used by allergists at the meetings of AAAAI, ACAAI, EAACI, and WAO

-Difficulty validating authors’ credentials and qualifications

   YouTube

-Has been used by AAAAI, ACAAI, and EAACI to disseminate information

-Information anarchy

 

-Allergists can use YouTube to post educational videos and then embed them into their website. They can also embed videos created by reputed health organizations

-Difficulty finding time to use social media by physicians

   Online Networks

-Provide forum for allergists and patients to engage in real-time collaboration

-Dearth of active participation of physicians

-Decreased physician workplace acceptance and support

  

-Concerns over maintaining confidentiality

   Short Message Service (SMS)/Text Messaging

-Daily SMS reminders have improved adherence of medication treatment outcomes in allergic rhinitis.

-No studies have evaluated if this modality improves utilization and adherence of immunotherapy

   Electronic Surveys

-Have been used to assess immunotherapy practices and utilization

-No studies have evaluated if this modality improves utilization and adherence of immunotherapy

 

-Have been used to assess characteristics of patients living with allergies

 

   Tablet Computers

-Graphic display and ease of interface

-No studies have evaluated if this modality improves utilization and adherence of immunotherapy

 

-Point-of-care tablet computers have been shown to improve allergy/immunology education

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