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Sleep Telemedicine: An Emerging Field's Latest Frontier
1Emory Clinic Sleep Center, Emory University, Atlanta, GA.
Chest
|March 13, 2016
Summary
Sleep telemedicine bridges the gap between sleep care access and demand. While feasible, challenges like cost and reimbursement need addressing for wider adoption of this technology.
Area of Science:
- Sleep Medicine
- Digital Health
Background:
- Growing disparity between patient demand for sleep services and provider accessibility.
- Recognition of sleep telemedicine as a potential solution by the American Academy of Sleep Medicine.
Purpose of the Study:
- To define sleep telemedicine and explore its applications.
- To assess the feasibility and challenges of implementing sleep telemedicine programs.
Main Methods:
- Definition of sleep telemedicine encompassing various electronic communication methods (telephone, video, apps, internet).
- Review of existing sleep telemedicine program complexities and smaller comparative studies.
- Identification of technological, quality, cost, reimbursement, and licensing factors.
Main Results:
- Sleep telemedicine is useful for treating insomnia and sleep-disordered breathing.
- Smaller studies suggest noninferiority to in-person care regarding patient satisfaction, adherence, and outcomes.
- Technological feasibility is established, but cost and regulatory hurdles exist.
Conclusions:
- Sleep telemedicine is a viable option to improve access to sleep care.
- Further large-scale randomized trials are necessary to confirm patient outcomes, cost-effectiveness, and system accessibility.
- Addressing reimbursement and licensing is crucial for broader implementation.
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