Diagnostik in der Schlafmedizin

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• 作者：Prof. Dr. T. Penzel (1)
  I. Fietze (1)
  M. Hirshkowitz (2)
  
• 关键词：Schlafmedizinische Kompetenz ; Leitlinie ; Schlafmediziner(in) ; Polysomnographie ; Schlaflabor ; Schlafzentrum ; Sleep medicine specialty ; Guideline ; Sleep physician ; Polysomnography ; Sleep laboratory ; Sleep center
• 刊名：Somnologie - Schlafforschung und Schlafmedizin
• 出版年：2011
• 出版时间：June 2011
• 年：2011
• 卷：15
• 期：2
• 页码：78-83
• 全文大小：282KB
• 参考文献：1. American Academy of Sleep Medicine (2005) International classification of sleep disorders: Diagnostic and coding manual 2nd edn. American Academy of Sleep Medicine, Westchester/IL
  2. Ayas NT, Fox J, Epstein L et al (2010) Initial use of portable monitoring versus polysomnography to confirm obstructive sleep apnea in symptomatic patients: An economic decision model. Sleep Med 11:320鈥?24 CrossRef
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  4. Deutsche Gesellschaft f眉r Schlafforschung und Schlafmedizin (1997) Qualifikationsnachweis 鈥濻omnologie鈥?鈥?Deutsche Gesellschaft f眉r Schlafforschung und Schlafmedizin (DGSM). Somnologie 1:97鈥?00
  5. Deutsche Gesellschaft f眉r Schlafforschung und Schlafmedizin (1999) Qualifikationsnachweis Somnologie f眉r technische und pflegerische Mitarbeiter in den Schlafmedizinischen Zentren der DGSM. Somnologie 3:283鈥?86 CrossRef
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  8. Gemeinsamer Bundesausschuss der 脛rzte und Krankenkassen(2005) Richtlinie des Gemeinsamen Bundesausschusses zur Bewertung medizinischer Untersuchungs- und Behandlungsmethoden (BUB Richtlinie). Dtsch Arztebl 102(7):A455-A456
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  15. Penzel T, Blau A, Fietze I et al (2011) Was gibt es Neues in der Diagnostik schlafbezogener Atmungsst枚rungen? Polysomnographie: wann, wie, warum? Atemwegs Lungenkr 37:30鈥?6
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• 作者单位：Prof. Dr. T. Penzel (1)
  I. Fietze (1)
  M. Hirshkowitz (2)
  
  1. Interdisziplin盲res Schlafmedizinisches Zentrum, Charit茅 鈥?Universit盲tsmedizin Berlin, Charit茅platz 1, 10117, Berlin, Deutschland
  2. Department of Medicine & Menninger Department of Psychiatry, Baylor College of Medicine, Houston VAMC Sleep Disorders & Research Center, Houston, USA
  

文摘

Sleep medicine is well established in Germany as an interdisciplinary medical subject. The area of sleep medicine provides quality control of structure, personnel, and procedures in the form of sleep center accreditation, board certification for physicians, psychologists, scientists, and medical technicians, and a peer review process for procedures in the sleep laboratory, the documentation of patient results, and the archiving of patient files. The newly developed evidence-based guideline on nonrestorative sleep and sleep disorders with a clinical algorithm for diagnostic and treatment pathways explains and defines sleep medicine practice. Therefore, there is a need for a sleep medicine service model with a high level of quality and different levels of sleep medicine care. A model with four levels of care is presented in this article. The first level is an interdisciplinary sleep medicine center which also provides full training and educational facilities. The second level offers the same service quality but without the full training program. The third level corresponds to a sleep laboratory closely associated with the department of origin and with a specialization in some main sleep disorders according to patient referral. The fourth level corresponds to a sleep physician who does not necessarily own all technical equipment associated with a sleep center; however, this expert physician has sleep medicine board certification and is the specialized physician to whom patients with complaints of nonrestorative sleep are referred. The sleep medicine service model presented here focuses primarily on individual sleep medicine competence and only secondarily on equipment. The equipment available is used to distinguish the four levels.