Patient-centered care in obstructive sleep apnea: A vision for the future
2023-12-01
来源:Sleep Med Rev. 2018 February ; 37: 138–147. doi:10.1016/j.smrv.2017.02.004.【Janet Hilbert and Henry K. Yaggi】
Patient-centered care in obstructive sleep apnea: A vision for the future
关键词:
Obstructive sleep apnea|Patient-centered care|Personalized medicine
特殊标签:
阻塞性睡眠呼吸暂停
文章摘要
Obstructive sleep apnea is a common condition, with multiple potential neurocognitive, cardiovascular, and metabolic consequences. Efficacious treatment is available, but patient engagement is typically required for treatment to be effective. Patients with sleep apnea are phenotypically diverse and have individual needs, preferences, and values that impact treatment decisions. There has been a shift in obstructive sleep apnea management from diagnosis to chronic care management. Making treatment decisions that incorporate an individual patient’s values and preferences and are personalized for that patient’s biology has the potential to improve patient outcomes. A patient-centered care approach in obstructive sleep apnea is reviewed including 1) determining patient-specific needs to guide treatment decisions, 2) understanding patient values, preferences, and other factors impacting treatment decisions and using shared decision-making, 3) enhancing patient education and support to improve treatment adherence, 4) promoting patient engagement, 5) optimizing care coordination, continuity of care, and access to care, and 6) determining and assessing patient-centered outcomes.
目录

1.Clinical vignettes

2.Conceptual framework

   2.1Definition of patient-centered care

   2.2Definition of personalized care

   2.3Why patient-centered care in OSA

3.Applying a patient-centered care approach in OSA (see Table 1)

   3.1Determining patient-specific needs to guide OSA treatment decisions

   3.2Understanding patient values, preferences, and other factors impacting OSA treatment  decisions: an opportunity for shared decision-making

   3.3Enhancing patient education and support to improve OSA treatment adherence

   3.4Promoting patient engagement in OSA treatment

   3.5Optimizing care coordination, continuity of care, and access to care in OSA

   3.6Determining and assessing patient-centered outcomes in OSA 

Abbreviations

References

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