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.
Albert Einstein College of Medicine, Montefiore Medical Ctr, 111 E 210th St, Bronx, NY 10467, USA. thorpy@aecom.yu.edu
Michael J
MJ
Thorpy
Joseph A
JA
Lieberman
Thomas
T
Roth
Glenda S
GS
Owens
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