Shelgikar Anita Valanju, Durmer Jeffrey S, Joynt Karen E, Olson Eric J, Riney Heidi, Valentine Paul
Sleep Disorders Center, Department of Neurology, University of Michigan, Ann Arbor, MI.
Fusion Health, Johns Creek, GA.
J Clin Sleep Med. 2014 Jun 15;10(6):693-7. doi: 10.5664/jcsm.3808.
Current emphasis on patient outcomes within sleep medicine, with a particular focus on quality improvement and contained costs, calls for sleep specialists to develop innovative models for long-term care and management of sleep disorders patients. Multidisciplinary sleep centers can facilitate highest-quality care that is timely and cost-effective. Effective resource use in a multidisciplinary sleep center can help minimize fragmentation of care, reduce effort duplication, and control costs. Proposed strategies to help achieve a balance between quality of care and cost-effectiveness include: (1) multidisciplinary specialty clinics, (2) optimized use of information technology, and (3) adoption of reliable performance measures.
当前睡眠医学对患者治疗效果的重视,尤其关注质量改进和成本控制,这就要求睡眠专家开发创新模式,用于睡眠障碍患者的长期护理和管理。多学科睡眠中心能够提供及时且具成本效益的最高质量护理。在多学科睡眠中心有效利用资源有助于尽量减少护理的碎片化、减少工作重复并控制成本。有助于在护理质量和成本效益之间取得平衡的建议策略包括:(1)多学科专科诊所,(2)优化信息技术的使用,以及(3)采用可靠的绩效指标。