Versorgung der Schlafapnoe in sich dynamisch verändernden Zeiten: Das Potenzial der Digitalisierung für eine bessere Behandlung der obstruktiven Schlafapnoe nutzen – in Deutschland und darüber hinaus

Publikation: Beitrag in FachzeitschriftÜbersichtsartikel (Review)BeigetragenBegutachtung

Beitragende

  • Dagmar Krefting - , Georg-August-Universität Göttingen (Autor:in)
  • Michael Arzt - , Universität Regensburg (Autor:in)
  • Joachim T. Maurer - , Universität Heidelberg (Autor:in)
  • Thomas Penzel - , Charité – Universitätsmedizin Berlin (Autor:in)
  • Fabian Prasser - , Charité – Universitätsmedizin Berlin (Autor:in)
  • Martin Sedlmayr - , Institut für Medizinische Informatik und Biometrie (Autor:in)
  • Christoph Schöbel - , Universität Duisburg-Essen (Autor:in)

Abstract

Background: Obstructive sleep apnea (OSA) is a common chronic disorder and an independent risk factor for several health issues, with a high prevalence estimated at 30% for men and 13% for women in Germany. Objective: For both individual wellbeing and healthcare systems, efficient and effective diagnosis and treatment of OSA are essential. Actors and stations along the patient pathway that may strongly benefit from adoption of current and evolving digital methods and tools are to be identified. Materials and methods: This work analyzes an OSA patient’s pathway through the German healthcare system, as well as current developments in health informatics and patient involvement. Potential benefits are identified and a patient-centric integrated digital health system is conceptualized. Results: Digital health strategies of German and European governments emphasize the importance of connected healthcare for patient empowerment, efficient health systems, and innovations in healthcare. For OSA, in particular intersectoral sharing of health assessments and biosignal measurements can support physicians’ care and timely and adequate treatment. Furthermore, clinical decision-support systems including artificial intelligence may help in optimized patient-centric treatment by early detection of females suffering from OSA, OSA pheno- and endotypes, and patients at risk of abandoning treatments. However, bureaucratic and reimbursement barriers in legislation may slow down or even inhibit the implementation of a smart healthcare system. Conclusion: Current trends in connected digital healthcare, wearables, data-driven decision support, and patient participation offer many opportunities for significantly improving healthcare for OSA. However, many technical, organizational, and regulatory challenges are to be faced.

Details

OriginalspracheDeutsch
Seiten (von - bis)248-254
Seitenumfang7
FachzeitschriftSomnologie
Jahrgang27
Ausgabenummer4
PublikationsstatusVeröffentlicht - Dez. 2023
Peer-Review-StatusJa

Externe IDs

ORCID /0000-0002-9888-8460/work/149439386
Mendeley 9cdc1965-01a9-3630-9d7f-31dd1a4bf86f

Schlagworte

ASJC Scopus Sachgebiete

Schlagwörter

  • Digital technology, Intersectoral collaboration, Obstructive sleep apnea, Patient participation, Wearable electronic devices, Digital technology, Intersectoral collaboration, Obstructive sleep apnea, Patient participation, Wearable electronic devices