Managed care considerations

Michael J. Thorpy, Joseph A. Lieberman, Thomas Roth, Glenda S. Owens

Research output: Contribution to journalArticle

Abstract

Managed care issues arising from excessive daytime sleepiness (EDS), which impacts as many as 37% of adults, are widespread. In the United States, insomnia is among the 3 most common complaints. Often it is younger people who have difficulty falling asleep, whereas their elders report more difficulty remaining asleep. Currently, people in the United States sleep 25% fewer hours than they did 100 years ago. Chronic sleep deprivation may be a choice driven by economic or social factors. Industrialized countries engage about 20% of the work force in shifts, and people working night shifts are thought to average 8 fewer hours of sleep each week than day workers. Falling asleep behind the wheel is the single most imminent risk associated with excessive sleepiness. Nonpharmacologic treatments for EDS include light variations, positive-airway pressure, dental and oral devices, and cognitive-behavioral therapy. When used, any pharmacologic treatment must carefully balance the amount of wakeful stimulation with bedtime drowsiness.

Original languageEnglish (US)
JournalAmerican Journal of Managed Care
Volume13
Issue number11 SUPPL. 6
StatePublished - Nov 2007

Fingerprint

Managed Care Programs
sleep
managed care
Sleep
Sleep Deprivation
Sleep Stages
Sleep Initiation and Maintenance Disorders
Cognitive Therapy
Developed Countries
Tooth
work force
Economics
Light
deprivation
Pressure
complaint
economic factors
Equipment and Supplies
social factors
Therapeutics

ASJC Scopus subject areas

  • Nursing(all)
  • Medicine(all)
  • Health(social science)
  • Health Professions(all)

Cite this

Thorpy, M. J., Lieberman, J. A., Roth, T., & Owens, G. S. (2007). Managed care considerations. American Journal of Managed Care, 13(11 SUPPL. 6).

Managed care considerations. / Thorpy, Michael J.; Lieberman, Joseph A.; Roth, Thomas; Owens, Glenda S.

In: American Journal of Managed Care, Vol. 13, No. 11 SUPPL. 6, 11.2007.

Research output: Contribution to journalArticle

Thorpy, MJ, Lieberman, JA, Roth, T & Owens, GS 2007, 'Managed care considerations', American Journal of Managed Care, vol. 13, no. 11 SUPPL. 6.
Thorpy MJ, Lieberman JA, Roth T, Owens GS. Managed care considerations. American Journal of Managed Care. 2007 Nov;13(11 SUPPL. 6).
Thorpy, Michael J. ; Lieberman, Joseph A. ; Roth, Thomas ; Owens, Glenda S. / Managed care considerations. In: American Journal of Managed Care. 2007 ; Vol. 13, No. 11 SUPPL. 6.
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