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Free sleep clinic addresses disparities in treatment of sleep disorders

EL CENTRAL by EL CENTRAL
March 28, 2024
in Education
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ANN ARBOR—Free access to sleep care is now available for people without health insurance in southeast Michigan. Established by a University of Michigan sleep epidemiologist, the new sleep medicine service aims to combat sleep disorders and help reduce poor health outcomes. 

Service is among the first in the nation to provide free sleep care to underserved communities.

Sleep is a vital function for overall well-being — impacting physical, mental and emotional health. However, many people struggle to get a good night’s sleep.

An estimated 50 to 70 million American adults are affected by sleep disturbances, and one in three adults will experience a sleep disorder at some point in their lives.

“Unfortunately, those who are most susceptible to sleep disorders include low-income working adults, immigrants and refugees,” said Galit Levi Dunietz, associate professor in the Department of Neurology and Division of Sleep Medicine at U-M.

“Medical care is often inaccessible for these underserved groups, and they never receive assessment or diagnosis for sleep disorders. Left untreated, they suffer from severe health consequences.”

Sleep and underserved populations

Dunietz partnered with the Hope Clinic, a nonprofit organization committed to supporting underinsured and uninsured individuals, to provide free sleep care to underserved populations.

With locations in Ypsilanti and Westland, Mich., the clinics are situated in urban areas of the state with diverse communities, including many immigrants and refugees.

The organization provides free medical and dental care, behavioral health counseling and food programs for vulnerable members of the community.

“We aim to provide the most extensive range of free healthcare services possible, but sleep medicine has not been accessible to us in the past,” said Ann Marie Peterson, a medical clinic manager at Hope Clinic.

“There was a critical need for sleep care amongst our patients, which would have been far too expensive for them to receive anywhere else.”

Sleep apnea common

In particular, many patients visiting Hope Clinic were diagnosed with a sleep disorder called obstructive sleep apnea.

Sleep apnea is characterized by loud snoring and frequent pauses in breathing during sleep and can lead to insomnia, daytime sleepiness, high blood pressure, diabetes and heart disease. Obstructive sleep apnea is commonly treated with nightly use of a continuous positive airway pressure device (CPAP), a breathing machine that keeps the upper airway open.   

Without health insurance, evaluation for obstructive sleep apnea and its treatment are inaccessible. Barriers to sleep apnea care include lack of access to a sleep physician, sleep apnea test and CPAP machines.

It’s beyond rewarding to hear them say they’re sleeping better and feel like they can be more proactive in their lives,” said Dunietz.

Volunteer sleep physicians: Ronald Chervin, M.D., Cathy Goldstein, M.D., Shelley Hershner, M.D., William Palmer, M.D., Ronald R. Gavidia Romero, M.D., Anita Shelgikar, M.D., Qurratul Aine Shamim-Uzzaman, M.D., Punithavathy Vijayakumar, M.B.B.S.


Volunteer respiratory therapists: Rebecca Aiello, Armando Kurili

Written by Leona Falconer of Michigan Medicine and translated by Juan Ochoa of Michigan News. 

Clínica gratuita de sueño aborda desigualdades en el tratamiento de trastornos del sueño

ANN ARBOR—El acceso gratuito al cuidado del sueño ya está disponible para personas sin seguro de salud en el sureste de Michigan. Establecido por un epidemiólogo del sueño de la Universidad de Michigan, el nuevo servicio de medicina del sueño busca combatir los trastornos del sueño y ayudar a reducir los malos resultados de salud.

El servicio es uno de los primeros en la nación en proporcionar atención gratuita del sueño a comunidades desatendidas.

Dormir es una función vital para el bienestar general, que afecta la salud física, mental y emocional. Sin embargo, muchas personas tienen dificultades para dormir bien por la noche.

Se estima que de 50 a 70 millones de adultos estadounidenses están afectados por trastornos del sueño, y uno de cada tres adultos experimentará un trastorno del sueño en algún momento de sus vidas.

“Desafortunadamente, los que son más susceptibles a los trastornos del sueño incluyen a adultos trabajadores de bajos ingresos, inmigrantes y refugiados”, dijo Galit Levi Dunietz, profesora asociada del Departamento de Neurología y División de Medicina del Sueño de la U-M.

“El cuidado médico a menudo es inaccesible para estos grupos desatendidos, y nunca reciben valoración ni diagnóstico para trastornos del sueño. Sin tratamiento, sufren de graves consecuencias para la salud.”

Sueño y las poblaciones desatendidas

Dunietz se asoció con Hope Clinic, una organización sin fines de lucro comprometida con apoyar a individuos sin seguro médico, para proporcionar cuidado del sueño gratuito a poblaciones desatendidas.

Con ubicaciones en Ypsilanti y Westland, Michigan, las clínicas están situadas en áreas urbanas del estado con comunidades diversas, incluyendo a muchos inmigrantes y refugiados.

La organización provee servicios médicos y dentales gratuitos, asesoramiento en salud conductual y programas alimenticios para miembros vulnerables de la comunidad.

“Nuestro objetivo es proporcionar la gama más extensa posible de servicios de atención médica gratuitos, pero la medicina del sueño no ha sido accesible para nosotros en el pasado”, dijo Ann Marie Peterson, gerente de la clínica médica en Hope Clinic.

“Había una necesidad crítica de cuidado del sueño entre nuestros pacientes, lo cual habría sido demasiado costoso para ellos recibir en otro lugar.”

La apnea del sueño es común

En particular, muchos pacientes que visitaban Hope Clinic fueron diagnosticados con un trastorno del sueño llamado apnea obstructiva del sueño.

La apnea del sueño se caracteriza por ronquidos fuertes y pausas frecuentes en la respiración durante el sueño, y puede conducir a insomnio, somnolencia diurna, presión arterial alta, diabetes y enfermedades cardíacas. La apnea obstructiva del sueño se trata comúnmente con el uso nocturno de un dispositivo de presión positiva continua en las vías respiratorias (CPAP, por sus siglas en inglés), una máquina para respirar que mantiene abierta la vía respiratoria superior.

Sin seguro médico, la evaluación para la a1pnea obstructiva del sueño y su tratamiento son inaccesibles. Las barreras para el cuidado de la apnea del sueño incluyen la falta de acceso a un médico especialista en sueño, una prueba de apnea del sueño y máquinas CPAP.

“Es extraordinariamente gratificante escucharlos decir que están durmiendo mejor y sienten que pueden ser más proactivos en sus vidas”, dijo Dunietz.

Información en español: https://thehopeclinic.org/s/Monthly-Services-Flyer-Spanish-ljfx.pdf

Médicos voluntarios especialistas en sueño: Ronald Chervin, M.D., Cathy Goldstein, M.D., Shelley Hershner, M.D., William Palmer, M.D., Ronald R. Gavidia Romero, M.D., Anita Shelgikar, M.D., Qurratul Aine Shamim-Uzzaman, M.D., Punithavathy Vijayakumar, M.B.B.S.

Terapeutas respiratorios voluntarios: Rebecca Aiello, Armando Kurili

Escrito por Leona Falconer de Michigan Medicine, adaptado al español por Juan Ochoa de Michigan News. 

Tags: UofM
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