Managed care considerations.
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.
Thorpy
Michael J
MJ
Albert Einstein College of Medicine, Montefiore Medical Ctr, 111 E 210th St, Bronx, NY 10467, USA. thorpy@aecom.yu.edu
Lieberman
Joseph A
JA
Roth
Thomas
T
Owens
Glenda S
GS
D000328:Adult; D000368:Aged; D015928:Cognitive Behavioral Therapy / Q000379:methods; D017281:Cost of Illness; D006970:Disorders of Excessive Somnolence / Q000175:diagnosis* / Q000191:economics / Q000453:epidemiology / Q000628:therapy*; D005260:Female; D006801:Humans; D008019:Life Style; D008297:Male; D008329:Managed Care Programs; D015995:Prevalence; D011788:Quality of Life; D016896:Treatment Outcome; D014481:United States / Q000453:epidemiology