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首页> 美国卫生研究院文献>Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine >The Future of Sleep Technology: Report from an American Association of Sleep Technologists Summit Meeting
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The Future of Sleep Technology: Report from an American Association of Sleep Technologists Summit Meeting

机译：睡眠技术的未来：美国睡眠技术专家协会峰会的报告

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The American Association of Sleep Technologists (AAST) Board of Directors hosted a Sleep Technology Summit on September 21, 2013 with the goals of identifying changes in the delivery of diagnostic and treatment services to sleep disorders patients, predicting the impact on sleep technologists, identifying new roles for sleep technologists, and determining appropriate education to prepare technologists for the future. A carefully chosen panel of speakers focused on the business skills necessary to provide care cost effectively and the clinical skills that will be essential for the technologist of the future to help care for patients with sleep disorders. A group of selected leaders, educators, and industry professionals reviewed the current state of affairs and examined opportunities to sustain the profession and define the role of the sleep technologist of the future. Facilitated group discussions of these critical topics followed each session.There was a clear consensus that regulatory and economic pressures are changing the way sleep disorders patients are diagnosed and treated. Private insurers are requiring pre-authorization for laboratory sleep studies and are incentivizing home sleep testing for most patients suspected of obstructive sleep apnea. Reimbursement for home testing will be lower than for laboratory testing, and further reductions in overall reimbursement are anticipated. These factors will almost certainly reduce the need for technologists to perform laboratory diagnostic studies and pressure sleep centers to reduce payrolls. Remaining laboratory patients will have more complicated sleep disorders, have more comorbidity, and require a higher level of care than most of the patients currently tested in sleep centers. Testing these patients will require technologists with a higher level of training, experience, and sophistication.A second area of consensus was that the focus in medicine is changing from diagnosis to outcomes. New models of integrated care will include an increased focus on patient education, monitoring, and follow-up. The most effective treatments will require an individualized, patient-centered approach. A workforce analysis shows that the number of trained physician specialists will be inadequate to provide this care. Well-trained sleep medicine practitioners at many levels will be needed to meet treatment goals, including some roles appropriate for sleep technologists.These factors provide challenges and opportunities for sleep technologists. In order to maintain viability as an allied health profession, the majority of sleep technologists will need to be better educated and demonstrate competency in more roles than overnight monitoring and record scoring. Models for this transition already exist, with several programs moving technologists from night work to days and from diagnosis to patient education, provision of treatment, and monitoring of adherence. The challenge for the professional association is to define new roles for sleep technologists and provide the education that the membership will require to flourish in those new roles.Citation:Brooks R, Trimble M. The future of sleep technology: report from an American Association of Sleep Technologists summit meeting. J Clin Sleep Med 2014;10(5):589-593.
机译：美国睡眠技术专家协会（AAST）董事会于2013年9月21日主办了一次睡眠技术峰会，目标是确定向睡眠障碍患者提供诊断和治疗服务的变化，预测对睡眠技术专家的影响，确定新的担任睡眠技术人员的角色，并确定适当的教育以为未来的技术人员做好准备。经过精心挑选的演讲者集中讨论了有效提供护理成本所必需的商业技能以及对将来的技术人员帮助护理睡眠障碍患者必不可少的临床技能。一组选定的领导者，教育者和行业专业人士回顾了当前的状况，并研究了维持该职业并确定未来睡眠技术专家的作用的机会。每次会议后都进行了关于这些关键主题的小组讨论。明确的共识是，监管和经济压力正在改变睡眠障碍患者的诊断和治疗方式。私人保险公司需要获得实验室睡眠研究的预授权，并且正在鼓励大多数怀疑阻塞性呼吸暂停的患者进行家庭睡眠测试。家庭测试的报销将低于实验室测试的报销，预计总报销将进一步减少。这些因素几乎可以肯定会减少技术人员进行实验室诊断研究的需要，并向睡眠中心施压以减少工资。与目前在睡眠中心接受检查的大多数患者相比，其余的实验室患者将患有更复杂的睡眠障碍，合并症并需要更高水平的护理。对这些患者进行测试将要求技术人员具有更高水平的培训，经验和精通程度。第二个共识领域是医学的重点正在从诊断转变为结果。新的综合护理模式将包括对患者教育，监测和随访的更多关注。最有效的治疗将需要以患者为中心的个性化方法。劳动力分析表明，训练有素的医生专科医生的人数不足以提供这种护理。需要达到多个目标的训练有素的睡眠医学从业者才能达到治疗目标，包括一些适合睡眠技术人员的角色。这些因素为睡眠技术人员提供了挑战和机遇。为了维持专职医疗行业的生存能力，与过夜监测和记录评分相比，大多数睡眠技术人员将需要接受更好的教育，并在更多的角色中展现能力。这种过渡的模型已经存在，有几个程序将技术人员从夜班工作转移到几天，从诊断到患者教育，提供治疗和依从性监测。专业协会面临的挑战是为睡眠技术人员定义新的角色，并提供会员在这些新角色中蓬勃发展所需要的教育。引文：Brooks R，TrimbleM。睡眠技术的未来：美国科学协会的报告睡眠技术专家峰会。 J临床睡眠医学2014; 10（5）：589-593。

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