Priority 3 from the Obstructive Sleep Apnea (Saskatchewan,Canada) PSP

UNCERTAINTY: How can access, coordination, and quality of public services be improved for persons with obstructive sleep apnea (OSA)? (JLA PSP Priority 3)
Overall ranking 3
JLA question ID 0118/3
Explanatory note Obstructive Sleep Apnea can be considered a chronic condition that would benefit from a patient-centred approach that includes: a) evaluating patient-specific needs to guide treatment decisions; b) including patient preferences, values and other factors in a shared decion-making process; c) promoting patient and caregiver education and support to maximize adherence to treatment; and d) evaluating patient-centred outcomes.Use of interdisciplinary teams, home-based testing, involving primary care partner, and use of virtual technologies may be helpful. 

Kunisaki KM, Greer N, Khalil W, Koffel E, Koeller E, MacDonald R, Wilt TJ. Provider Types and Outcomes in Obstructive Sleep Apnea Case Finding and Treatment: A Systematic Review. Ann Intern Med. 2018 Feb 6;168(3):195-202. doi:
10.7326/M17-2511. Epub 2018 Jan 30. PMID: 29379962. 

Health Research Classification System category Respiratory
Extra information provided by this PSP
Original uncertainty examples Is there a procedure setup for monitoring OSA patients? ~ I could not find any diagnosis or treatment provided by SHA or a public owned service provider. Why? ~ Is there a way to get the Lung Association, community services such as home care and the oxygen companies working together to streamline services?
Submitted by Patients x 15, clinicians x 5, family member  
PSP information
PSP unique ID 0118
PSP name Obstructive Sleep Apnea PSP
Total number of uncertainties identified by this PSP. 39  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 28 January 2021