Practice patterns of board-certified sleep medicine providers: a national analysis among older adult Medicare beneficiaries.
Medicare
board certification
health services
older adults
sleep medicine
Journal
Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine
ISSN: 1550-9397
Titre abrégé: J Clin Sleep Med
Pays: United States
ID NLM: 101231977
Informations de publication
Date de publication:
15 05 2020
15 05 2020
Historique:
pubmed:
7
2
2020
medline:
24
6
2021
entrez:
7
2
2020
Statut:
ppublish
Résumé
To examine the proportion of Medicare beneficiaries with sleep disorders who were evaluated by board-certified sleep medicine providers (BCSMPs). Using a random 5% sample of Medicare administrative claims data (2007-2011), BCSMPs were identified by employing a novel cross-matching approach based on National Provider Identifiers available within the Medicare database. Sleep disorders were included based partially on the International Classification of Sleep Disorders, Third Edition (insomnia, sleep-related breathing disorders, hypersomnias, circadian rhythm sleep-wake disorders, parasomnias, and restless legs syndrome), and operationalized as International Classification of Diseases, Ninth Revision, Clinical Modification diagnostic codes. The proportion of beneficiaries with each disorder who were seen by BCSMPs and nonspecialists was computed. Among older adult Medicare beneficiaries with sleep disorders, the most common sleep disorder was insomnia (n = 65,033), and the least common sleep disorder was narcolepsy (n = 784). Individuals with central sleep apnea (n = 1,561) were most likely to be treated by a BCSMP (63.9% of beneficiaries with central sleep apnea), and individuals diagnosed with insomnia were least likely to be treated by a BCSMP (16.4% of beneficiaries with insomnia). Most BCSMPs treated beneficiaries with obstructive sleep apnea (84.9% of BCSMPs) and insomnia (75.8% of BCSMPs). BCSMPs are involved in the care of a substantial proportion of Medicare beneficiaries with sleep disorders.
Identifiants
pubmed: 32024587
doi: 10.5664/jcsm.8326
pmc: PMC7849811
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
689-694Subventions
Organisme : AHRQ HHS
ID : K01 HS024560
Pays : United States
Organisme : NIA NIH HHS
ID : T32 AG000262
Pays : United States
Informations de copyright
© 2020 American Academy of Sleep Medicine.
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