A strategic framework for digital and sustainable transformation in allergy care: An EAACI position paper

BACKGROUND: Allergic diseases, particularly in children, are increasing worldwide and impose growing clinical, economic, and environmental burdens on healthcare systems. Conventional models of allergy care face limitations in early diagnosis, long-term disease monitoring, patient engagement, and sustainability, highlighting the need for innovative and scalable solutions. OBJECTIVES: This position paper aims to propose a global framework for integrating digital health innovations with sustainable models of allergy and immunology care, with particular attention to pediatric and general allergy services. METHODS: The paper is formulated as an expert opinion-based position document informed by current scientific evidence on digital health applications and sustainable healthcare practices in allergy and immunology. Key domains were identified through literature review and consensus discussions, focusing on digital transformation, environmental sustainability, and international collaboration. RESULTS: The proposed roadmap highlights three strategic priorities: (1) leveraging digital health solutions-including mobile health, telemedicine, and artificial intelligence-to enhance early diagnosis, personalized treatment, and real-time disease monitoring; (2) embedding environmentally sustainable practices into routine allergy care to reduce healthcare-related carbon emissions; and (3) fostering international collaboration among clinicians, researchers, and policymakers to promote equitable access to digital allergy care across diverse healthcare systems. The framework provides practical guidance for clinics and hospitals to implement digital tools while maintaining clinical effectiveness and sustainability. CONCLUSIONS: Integrating digital health technologies with sustainable care models offers a transformative opportunity for allergy and immunology practice. Alignment with Environmental, Social, and Governance (ESG) principles supports high-quality, equitable, and climate-responsible allergy care. This international perspective outlines current advancements, challenges, and sustainability implications, serving as a roadmap to guide future digital and sustainable transformation of pediatric and general allergy care worldwide.