Sleep research, quality and implementation priorities in the Veterans Health Administration: a white paper.

IF 2.9 3区 医学 Q1 CLINICAL NEUROLOGY
Q Afifa Shamim-Uzzaman, Michelle R Zeidler, Eilis A Boudreau, Susmita Chowdhuri, Lucas M Donovan, Ali El-Solh, Amado X Freire, Daniel J Gottlieb, Ripu D Jindal, Sean Hesselbacher, Brian Koo, Samuel Kuna, Miranda M Lim, Sherwin Mina, Carl Stepnowsky, Sadeka Tamanna, Lauren Tobias, Christi Ulmer, Klar Yaggi, Salim Surani, Charles Atwood, Kathleen Sarmiento, Octavian C Ioachimescu
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Abstract

The Veterans Administration (VA) seeks to improve the quality of life and long-term health outcomes for Veterans facing unique sleep challenges related to their military service. The prevalence and burden of sleep disorders among military service members and Veterans are alarmingly high, often worsened by inadequate sleep environments, insufficient sleep, shift work, and exposure to trauma. VA's National Sleep Medicine Program Office (SMPO) has outlined key priorities for enhancing sleep medicine research and quality improvement. These recommendations reflect the consensus within the Sleep Research and Quality Improvement Subcommittee of the Field Advisory Board for the SMPO. These priorities include advancing sleep science at basic, clinical, and population levels; promoting sleep health through personalized treatment strategies tailored to Veterans; increasing funding for sleep research; establishing a network of VA sleep research centers to conduct high-quality, multi-center, collaborative studies; developing a veteran-specific portfolio of sleep research and innovations; and optimizing the dissemination of diagnostic tools and therapies through quality improvement initiatives. VA aims to achieve these goals through a series of strategic objectives and milestones that consider importance, timeline, effort, and cost. Specific topics of interest are highlighted and investigators are encouraged to address knowledge gaps in these areas. This white paper seeks to strengthen sleep research within VA by developing a comprehensive pipeline of researchers and systematically evaluating strategies to improve sleep health care for Veterans. The ultimate goal is to generate actionable insights that could potentially influence broader sleep-related clinical guidelines and policies within and beyond the VA healthcare system.

退伍军人健康管理局的睡眠研究、质量和实施重点:白皮书。
退伍军人管理局(VA)旨在改善退伍军人的生活质量和长期健康结果,这些退伍军人面临着与服役有关的独特睡眠挑战。在军人和退伍军人中,睡眠障碍的患病率和负担高得惊人,往往因睡眠环境不足、睡眠不足、轮班工作和暴露于创伤而恶化。VA的国家睡眠医学项目办公室(SMPO)概述了加强睡眠医学研究和质量改进的关键优先事项。这些建议反映了SMPO现场咨询委员会睡眠研究和质量改进小组委员会的共识。这些优先事项包括在基础、临床和人口层面推进睡眠科学;通过为退伍军人量身定制的个性化治疗策略促进睡眠健康;增加对睡眠研究的资助;建立VA睡眠研究中心网络,开展高质量的多中心合作研究;开发针对退伍军人的睡眠研究和创新组合;并通过质量改进计划优化诊断工具和疗法的传播。VA旨在通过一系列考虑重要性、时间、努力和成本的战略目标和里程碑来实现这些目标。特别感兴趣的主题被强调,并鼓励调查人员解决这些领域的知识差距。本白皮书旨在通过发展全面的研究人员渠道和系统地评估改善退伍军人睡眠保健的策略,加强退伍军人事务部的睡眠研究。最终目标是产生可操作的见解,可能会影响VA医疗保健系统内外更广泛的睡眠相关临床指南和政策。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.20
自引率
7.00%
发文量
321
审稿时长
1 months
期刊介绍: Journal of Clinical Sleep Medicine focuses on clinical sleep medicine. Its emphasis is publication of papers with direct applicability and/or relevance to the clinical practice of sleep medicine. This includes clinical trials, clinical reviews, clinical commentary and debate, medical economic/practice perspectives, case series and novel/interesting case reports. In addition, the journal will publish proceedings from conferences, workshops and symposia sponsored by the American Academy of Sleep Medicine or other organizations related to improving the practice of sleep medicine.
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