Patient accessibility and utilization of behavioral sleep medicine referrals in an academic center.

Autor:	Chernyak Y; Department of Psychiatry, Indiana University School of Medicine, Indianapolis, Indiana., Ofner S; Department of Biostatistics and Health Data Science, Indiana University School of Medicine, Indianapolis, Indiana., Williams MK; Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, Indiana., Bolarinwa C; Indiana University School of Medicine, Indianapolis, Indiana., Manchanda S; Section of Pulmonary, Critical Care, Sleep and Occupational Medicine, Indiana University School of Medicine, Indianapolis, Indiana., Otte JL; Department of Science of Nursing Care, Indiana University School of Nursing, Indianapolis, Indiana.
Jazyk:	angličtina
Zdroj:	Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine [J Clin Sleep Med] 2024 Nov 01; Vol. 20 (11), pp. 1793-1806.
DOI:	10.5664/jcsm.11252
Abstrakt:	Study Objectives: Behavioral sleep medicine (BSM) is a subspecialty that combines behavioral psychology and sleep medicine specialties. The objective of this study was to analyze referral patterns to a BSM clinic. The 3 specific aims were: (1) describe factors that predict referral acceptance, (2) identify barriers to attending initial appointment, and (3) describe variables associated with the number of visits attended. Methods: Retrospective chart reviews were conducted as part of a quality improvement project by this study team's clinical setting. Adults over 21 years of age who were referred to a BSM clinic in an urban Midwestern academic health care system between 2014 and 2019 were included in this study. Results: Sleep medicine was the main referral source for patients with BSM (74.2%), followed by internal medicine (9.3%) and neurology/psychiatry (7.3%). Thirty-eight percent of patients did not schedule an appointment after a referral for BSM was initiated. Younger age, longer distance from clinic, commercial insurance, and out-of-network insurance were all significantly greater for nonschedulers. Eighty-three percent of patients did attend the initial intake session with BSM providers. Older age was associated with lower likelihood of not attending scheduled BSM appointments. Conclusions: Patient characteristics of older age, closer distance from clinic, and in-network insurance coverage were found to significantly increase the likelihood of BSM scheduling, while younger age, Black race and not getting a primary sleep disorder diagnosis (vs a diagnosis of insomnia disorder) and shorter days from referral to appointment were associated with an increased likelihood of not attending the scheduled BSM treatment engagement. Citation: Chernyak Y, Ofner S, Williams MK, Bolarinwa C, Manchanda S, Otte JL. Patient accessibility and utilization of behavioral sleep medicine referrals in an academic center. J Clin Sleep Med . 2024;20(11):1793-1806. (© 2024 American Academy of Sleep Medicine.)
Databáze:	MEDLINE
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