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日本寿险公司对接受持续气道正压通气治疗的睡眠呼吸暂停综合征患者态度的转变

Changes in Attitudes of Life Insurance Companies Towards Patients with Sleep Apnea Syndrome Undergoing Continuous Positive Airway Pressure in Japan.

作者信息

Sawada Daisaku, Tomooka Kiyohide, Tanigawa Takeshi

出版信息

Juntendo Iji Zasshi. 2022 Dec 1;68(6):606-612. doi: 10.14789/jmj.JMJ22-0026-OA. eCollection 2022.

Abstract

OBJECTIVE

Recent studies have revealed that sleep apnea syndrome (SAS) increases the risk of cardiovascular diseases and their risk factors, as well as the risk of traffic accidents. Although SAS screening and early treatment are important, truck drivers may avoid SAS screening to prevent the denial of their application for life insurance due to receiving continuous positive airway pressure (CPAP) treatment. Thus, this study investigated how life insurance companies handle patients on SAS treatment.

MATERIAL AND METHODS

We conducted a questionnaire survey on how they handle life insurance applications of patients with SAS on CPAP treatment for 46, 41, and 42 companies in 2009, 2015, and 2021, respectively, and analyzed the changes in their handling of life insurance applications of patients with SAS.

RESULTS

The results revealed that while about 10 life insurance companies handle the application of life insurance of patients on CPAP treatment in the same way as healthy individuals, many life insurance companies handle them differently. This survey also revealed the differences in handling patients with SAS on CPAP treatment among companies and their policies regarding the reasons.

CONCLUSIONS

The survey revealed that there are differences among life insurance companies in handling patients with SAS on CPAP treatment. It is important to provide information about the companies that would not give disadvantages to patients with SAS on CPAP treatment who purchase life insurance. It is also crucial to provide life insurance companies with evidence of reduced risk of traffic accidents in patients with SAS on CPAP treatment.

摘要

目的

近期研究表明,睡眠呼吸暂停综合征(SAS)会增加心血管疾病及其危险因素的风险,以及交通事故风险。尽管SAS筛查和早期治疗很重要,但卡车司机可能会避免进行SAS筛查,以防止因接受持续气道正压通气(CPAP)治疗而被拒绝人寿保险申请。因此,本研究调查了人寿保险公司如何处理接受SAS治疗的患者。

材料与方法

我们分别对2009年、2015年和2021年的46家、41家和42家公司进行了问卷调查,了解他们如何处理接受CPAP治疗的SAS患者的人寿保险申请,并分析了他们对SAS患者人寿保险申请处理方式的变化。

结果

结果显示,虽然约有10家人寿保险公司以与健康个体相同的方式处理接受CPAP治疗患者的人寿保险申请,但许多人寿保险公司的处理方式不同。这项调查还揭示了各公司在处理接受CPAP治疗的SAS患者方面的差异及其相关政策原因。

结论

调查显示,人寿保险公司在处理接受CPAP治疗的SAS患者方面存在差异。重要的是要提供有关不会给购买人寿保险的接受CPAP治疗的SAS患者带来不利影响的公司的信息。向人寿保险公司提供接受CPAP治疗的SAS患者交通事故风险降低的证据也至关重要。

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