ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2021
Perspectives on primary care management of obstructive sleep apnea: a qualitative study of patients and health care providers.
Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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17 citing papers in PubMed, 34 citations in OpenAlex.
- Trial
- Effect of tirzepatide treatment on patient-reported outcomes among SURMOUNT-OSA participants with obstructive sleep apnea and obesity.Sleep medicine · 2025Trial
- Barriers to Care for Obstructive Sleep Apnea: Primary Care Perspectives at a Safety Net Hospital.Laryngoscope investigative otolaryngology · 2026Article
- Barriers and facilitators to weight loss in patients living with obesity and OSAHS: a qualitative study based on the Theoretical Domains Framework (TDF).Frontiers in medicine · 2026Article
- Exploring the impact of a medical device recall on individuals with obstructive sleep apnea and healthcare providers: a qualitative study.Sleep advances : a journal of the Sleep Research Society · 2026Article
- First Steps Toward Implementing Primary Care Obstructive Sleep Apnea Management in Rural West Virginia.Annals of the American Thoracic Society · 2025Article
- Access and models of obstructive sleep apnea care: a cross-national comparison of Canadian and Australian patient survey data.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025Article
- Longer-term impacts of the COVID-19 pandemic on obstructive sleep apnoea (OSA)-related healthcare: a province-based study.BMJ open respiratory research · 2024Article
- From trenches to technology: a narrative review of sleep medicine in the military.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024Review
- CPAP resumption after a first termination and impact on all-cause mortality in France.The European respiratory journal · 2024Article
- Preferred Attributes of Care Pathways for Obstructive Sleep Apnoea from the Perspective of Diagnosed Patients and High-Risk Individuals: A Discrete Choice Experiment.Applied health economics and health policy · 2022Article
- Impact of wait times for treatment on clinical outcomes in patients with obstructive sleep apnoea: protocol for a randomised controlled trial.ERJ open research · 2022Article
- Treatment outcomes among rural and urban patients with obstructive sleep apnea: a prospective cohort study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022Article
- Assessment, referral and management of obstructive sleep apnea by Australian general practitioners: a qualitative analysis.BMC health services research · 2021Article
- Yonder: Travellers, obstructive sleep apnoea, sex workers, and post-stroke aphasia.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021Article
- Can primary care providers manage obstructive sleep apnea?Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021Article
- Experiences with Continuous Positive Airway Pressure Among African American Patients and their Bed Partners.Behavioral sleep medicineArticle
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
STUDY
objectivesDifficulties in providing timely access to care have prompted interest in primary care delivery models for obstructive sleep apnea (OSA). Sustainable implementation of such models requires codesign with input from key stakeholders. The purpose of this study was to identify patient and provider perspectives on barriers and facilitators to optimal, patient-centered management of OSA in a primary care setting.
methodsThis study was conducted in Alberta, Canada. Data from key stakeholders were collected through an online survey of primary care providers (n = 119), focus groups and interviews with patients living with OSA (n = 28), and workshops with primary care and sleep providers (n = 36). Quantitative survey data were reported using descriptive statistics, and qualitative data were analyzed using an inductive thematic approach.
resultsSeveral barriers were identified, including poor specialist access, variable primary care providers knowledge of OSA, and lack of clarity about provider roles for OSA management. Barriers contributed to patients being poorly informed about OSA, leading them to separate OSA from their overall health and eroding trust in the system. Suggestions for improvement included integration of care providers in a comprehensive model of care, facilitated by improved system navigation and more effective use of technology. Themes were consistent across data collection methods and between stakeholder groups.
conclusionsAlthough primary care delivery models may improve access to OSA management, stakeholders identified important challenges in the current system. Innovative models of care, developed with input from patients and providers, may mitigate barriers and support optimal primary care management of OSA.
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