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QUALITY MEASURES

FOR CARE OF
PATIENTS WITH
INSOMNIA
JCSM 2015 ; 11(3) : 311-334

QUALITY MEASURES FOR


INSOMNIA
TWO desirable outcomes of therapy
1.Improving sleep quality or satisfaction AND
2. Improving daytime functioning.

QUALITY MEASURES FOR


INSOMNIA
Four process measures to achieve these goals.
A. Assessment of sleep satisfaction/quality (for
1.)
B. Delivery of evidence-based treatment ( for 2.)
C. Assessment of daytime functioning ( for 2.)
D. Assessment of side-effects of treatments.
( for 2.)

EFFECTS OF INSOMNIA
1. Daytime fatigue
2. Decreased mood
3. Impairment in social/vocational functioning
4. Poor school performance.
5. Reduced quality of life

EFFECTS OF INSOMNIA
1. Increased risks of serious medical disorders
2. Increased risks of traffic and worksite accidents
3. Increased risks of alcohol/drug abuse
4. Risks of psychiatric illnesses
5. With co-morbid psychiatric illness complicates
disease management as a residual symptoms
increases risk for both suicide and relapse.
6. Also strong association with chronic pain syndromes.

ECONOMIC COSTS OF INSOMNIA


285 million $ for prescription sleeping pills in
1995
Total annual costs of insomnia to the US
economy in 1995 projected to exceed 90B $.
90% of costs attributed to work absences
and reduced productivity

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