To address the growing gap between the rising prevalence of allergies and the shortage
of Allergy Specialists in New Zealand, the idea of AllergyDoctor was considered
the most realistic solution to improving the unmet needs of Allergy Service in New
Zealand. The core structure of AllergyDoctor is to train/up skill General Practitioners
in Allergy. They are trained to be proficient in comprehensive Allergy Assessment,
skin prick testing, patch testing and administering immunotherapy, safely and effectively.
Each clinic also has a nurse trained in administering intradermal, subcutaneous
injections and skin prick testing. The nurse is also trained (and encouraged to
attend regular meetings) in patch testing.
In AllergyDoctor, the task of the General Practitioner in Allergy Assessment is
made easier through the use of The Comprehensive Online Allergy Screening Tool (COAST™).
This helps the GPs in AllergyDoctor to be able to diagnose more difficult allergies
using the probability logic technique of COAST™, a virtual allergist, using
clickable algorithms to arrive at a probable diagnosis. After an appointment is
made with AllergyDoctor GP and an individualized Allergy Management Plan (including
all appropriate investigations and treatment) is created based on International
Evidence Based Allergy Practice using the guidelines of the Australasian Society
of Clinical Immunology (ASCIA), the British Society of Clinical Immunology & Allergy
(BSACI), the European Academy of Allergy and Clinical Immunology (EAACI), and the
American Academy of Allergy, Asthma, and Immunology (AAAAI), the professional bodies
to which the Consultants in AllergyDoctor are members of COAST is also very useful
tool for excluding allergies.
At the present time patients in both the public and private health system can have
specific IgE (formerly RAST) test requested by any doctor free of charge, but like
all the other cut-backs in the health system it is rumored that this service will
not be free for much longer. Hence plans as outlined below to introduce Specific
IgE & Component (molecular) allergy testing in AllergyDoctor NZ clinics.
Before your first visit to Auckland Allergy Clinic we will ask you to fill in the
Questionnaire below. Filling in this form and submitting it will allow us to be
familiar with your history before your visit.