Vohra Kunwar Praveen, Johnson Karin G, Dalal Ashtaad, Ibrahim Sally, Krishnan Vidya, Abbasi-Feinberg Fariha, Abreu Alexandre Rocha, Bandyopadhyay Anuja, Gurubhagavatula Indira, Kuhlmann David, Martin Jennifer L, Olson Eric J, Patil Susheel P, Shelgikar Anita V, Trotti Lynn Marie, Wickwire Emerson M, Rowley James A, Kapur Vishesh K
Ascension Medical Group, Carmel, Indiana.
Department of Neurology, University of Massachusetts Chan School of Medicine-Baystate, Springfield, Massachusetts.
J Clin Sleep Med. 2025 Feb 1;21(2):401-404. doi: 10.5664/jcsm.11438.
Telehealth use greatly expanded under the Centers for Medicare and Medicaid Services waivers at the start of the COVID-19 pandemic; however, the uncertainty and limitations of continued coverage risks loss of this momentum. Permanent coverage with adequate reimbursement is essential for the long-term acceptance and expansion of telehealth services. Telehealth supports both the current and future need for sleep health management by expanding patient access, increasing clinician efficiency, improving patient safety, and addressing health care equity. Sleep medicine is an ideal field for telehealth due to limited provider access, safety concerns with sleepy patients, availability of remote patient monitoring for treatment management, and the minimal need for repeated physical examinations. Telehealth is noninferior for delivery of cognitive behavioral therapy for insomnia and can enhance obstructive sleep apnea treatment adherence. It is the position of the American Academy of Sleep Medicine that telehealth is an essential tool for the provision of high-quality, patient-centered care for patients with sleep disorders. We encourage all stakeholders including legislators, policymakers, clinicians, and patients to work together to address payment models, interstate care, technology access, prescribing practices, and ongoing research to ensure that sleep telehealth services are permanently available and accessible for all patients seeking sleep medicine care.
Vohra KP, Johnson KG, Dalal A, et al. Recommendations for permanent sleep telehealth: an American Academy of Sleep Medicine position statement. . 2025;21(2):401-404.
在2019冠状病毒病大流行开始时，根据医疗保险和医疗补助服务中心的豁免规定，远程医疗的使用大幅增加；然而，持续覆盖的不确定性和局限性可能导致这一发展势头丧失。提供足够报销的永久覆盖对于远程医疗服务的长期接受和扩展至关重要。远程医疗通过扩大患者就诊机会、提高临床医生效率、改善患者安全以及解决医疗保健公平问题，支持了当前和未来对睡眠健康管理的需求。由于睡眠医学领域的医疗服务提供者有限、嗜睡患者存在安全问题、可利用远程患者监测进行治疗管理以及对重复体格检查的需求最小，因此睡眠医学是远程医疗的理想领域。远程医疗在提供失眠认知行为疗法方面并不逊色，并且可以提高阻塞性睡眠呼吸暂停治疗的依从性。美国睡眠医学学会的立场是，远程医疗是为睡眠障碍患者提供高质量、以患者为中心的护理的重要工具。我们鼓励包括立法者、政策制定者、临床医生和患者在内的所有利益相关者共同努力，解决支付模式、跨州医疗、技术获取、处方实践和正在进行的研究等问题，以确保睡眠远程医疗服务对所有寻求睡眠医学护理的患者永久可用且可及。
Vohra KP, Johnson KG, Dalal A等。关于永久睡眠远程医疗的建议：美国睡眠医学学会立场声明。. 2025;21(2):401 - 404。
