Home Respiratory Therapies in Patients With Obstructive Sleep Apnea: A Value-based Care Model in Spain

Q4 Medicine
Irene Cano-Pumarega , Candela Caballero-Eraso , Valentín Cabriada , Mar Mosteiro , Juan Fernando Masa , Ferran Barbé
{"title":"Home Respiratory Therapies in Patients With Obstructive Sleep Apnea: A Value-based Care Model in Spain","authors":"Irene Cano-Pumarega ,&nbsp;Candela Caballero-Eraso ,&nbsp;Valentín Cabriada ,&nbsp;Mar Mosteiro ,&nbsp;Juan Fernando Masa ,&nbsp;Ferran Barbé","doi":"10.1016/j.opresp.2025.100427","DOIUrl":null,"url":null,"abstract":"<div><div>This document proposes a value-based care model to improve adherence and health outcomes in patients with obstructive sleep apnea (OSA) treated with CPAP. The current care model for OSA management adopts a uniform, volume-based approach for all patients, limiting personalized care and reducing service quality without providing objective outcome data. The value-based care model proposed here focuses on guiding all interventions towards improving treatment adherence, aiming to enhance health outcomes by increasing patients’ quality of life and comfort with treatment. Key strategies to be implemented include education and support programs at the beginning of treatment, enhancing comfort in mask use, telemonitoring of adherence, patient involvement in the treatment progress, patient stratification based on adherence, and identifying individuals who may benefit from alternative treatments. A results-based funding model is also recommended to optimize resource allocation. Expected outcomes from these measures include a reduction in home visits and in-person consultations for stable patients, fewer non-adherent patients, more optimally treated patients, and overall improvements in treatment quality and effectiveness. Key indicators to evaluate the success of this approach include quality of life (measured through quality-of-life questionnaires), adherence levels (via telemonitoring), and CPAP comfort. Collectively, these strategies allow for a comprehensive approach, optimizing resources and ensuring personalized care that improves the experience and outcomes of OSA patients.</div></div>","PeriodicalId":34317,"journal":{"name":"Open Respiratory Archives","volume":"7 2","pages":"Article 100427"},"PeriodicalIF":0.0000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Open Respiratory Archives","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2659663625000311","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0

Abstract

This document proposes a value-based care model to improve adherence and health outcomes in patients with obstructive sleep apnea (OSA) treated with CPAP. The current care model for OSA management adopts a uniform, volume-based approach for all patients, limiting personalized care and reducing service quality without providing objective outcome data. The value-based care model proposed here focuses on guiding all interventions towards improving treatment adherence, aiming to enhance health outcomes by increasing patients’ quality of life and comfort with treatment. Key strategies to be implemented include education and support programs at the beginning of treatment, enhancing comfort in mask use, telemonitoring of adherence, patient involvement in the treatment progress, patient stratification based on adherence, and identifying individuals who may benefit from alternative treatments. A results-based funding model is also recommended to optimize resource allocation. Expected outcomes from these measures include a reduction in home visits and in-person consultations for stable patients, fewer non-adherent patients, more optimally treated patients, and overall improvements in treatment quality and effectiveness. Key indicators to evaluate the success of this approach include quality of life (measured through quality-of-life questionnaires), adherence levels (via telemonitoring), and CPAP comfort. Collectively, these strategies allow for a comprehensive approach, optimizing resources and ensuring personalized care that improves the experience and outcomes of OSA patients.
阻塞性睡眠呼吸暂停患者的家庭呼吸疗法:西班牙基于价值的护理模式
本文提出了一种基于价值的护理模式,以改善阻塞性睡眠呼吸暂停(OSA)患者接受CPAP治疗的依从性和健康结果。目前OSA管理的护理模式对所有患者采用统一的、基于量的方法,限制了个性化护理,降低了服务质量,没有提供客观的结果数据。本文提出的基于价值的护理模式侧重于指导所有干预措施,以改善治疗依从性,旨在通过提高患者的生活质量和治疗舒适度来改善健康结果。要实施的关键策略包括治疗初期的教育和支持计划,增强口罩使用的舒适性,依从性的远程监测,患者参与治疗进程,基于依从性的患者分层,以及识别可能从替代治疗中受益的个体。还建议采用基于结果的供资模式,以优化资源分配。这些措施的预期结果包括减少稳定患者的家访和当面咨询,减少非依从性患者,增加最佳治疗患者,以及治疗质量和有效性的总体改善。评估该方法成功与否的关键指标包括生活质量(通过生活质量问卷测量)、依从性水平(通过远程监控)和CPAP舒适度。总的来说,这些策略允许采用综合方法,优化资源并确保个性化护理,从而改善OSA患者的体验和结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Open Respiratory Archives
Open Respiratory Archives Medicine-Pulmonary and Respiratory Medicine
CiteScore
1.10
自引率
0.00%
发文量
58
审稿时长
51 days
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信