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Diagnosing Sleep Apnea in Macedonia

Diagnosing Sleep Apnea in Macedonia. D imitar Karkinski Macedonia. Start of Sleep Apnea Diagnosis. Geographical Area. Demographic Structure. Population: 2.045.108 Average Net Paid Wage: 40 0 US $ Gross Domestic Product per Inhabitant (in US $): 4.827.

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Diagnosing Sleep Apnea in Macedonia

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  1. Diagnosing Sleep Apnea in Macedonia Dimitar Karkinski Macedonia

  2. Start of Sleep Apnea Diagnosis

  3. Geographical Area

  4. Demographic Structure • Population: 2.045.108 • Average Net Paid Wage: 400 US $ • Gross Domestic Product per Inhabitant (in US $): 4.827

  5. Number of Specialists In Macedonia • Number of Licensed Doctors: 5.658 • Internal Medicine Specialists: 479 • Pulmology Specialists: 98 • ENT Specialists: 104 • Neurology Specialists: 52 • Neuropsychiatry Specialists: 88

  6. The Sleep Lab

  7. Installed Equipment - Pulmology I. Polysomnograph: • Alice 5 • Infrared Video Recorder • REMstar Auto W/C-Flex II. Polygraph: ● Stardust II

  8. Sleep Lab Dept. – ENT • Stardust II • PC • Personal: D-r.Maja Kirjas

  9. Sleep Lab Staff • D-r.Dejan Dokic – head of Sleep Lab Dept. - pulmology • D-r.Dimitar Karkinski - Sleep Lab Dept. – pulmology • Nurse Aneta Naumovska - Sleep Lab Dept. – pulmology • D-r.Maja Kirjas – Sleep Lab Dept. – ENT • D-r.Marko Panovski – Betamedico Trading

  10. Retail Prices in Macedonia • REMstar M Series Basic 960 Euro • REMstar Plus M Series 1035 Euro • REMstar Auto M Series w/C-Flex 1600 Euro • BiPAP S/T 5630 Euro • Nasal Masks 150 – 200 Euro • Full Face Masks 230 – 250 Euro

  11. Number of assessed patients Results in 2007: • No. of recorded patients: 160 • No. of diagnosed with OSA: 120

  12. AHI in patients assessed wıth polysomnography

  13. Diagnosing Sleap apnea in Macedonia “IS LIKE HOLDING A TIGER BY THE TAIL”

  14. Problems • One single room which is used both for polysomnography and for other private patients with other diagnoses • Expensive CPAP machines (Patient check on prices on internet or other countries) • Structural changes in Clinical Center Skopje and reforms in health system • No coverage from the Health Insurance Fund

  15. Which Measures Are We Taking • Commercial advertisements in daily newspapers, health and other magazines • Interviews of professionals in health magazines, daily newspapers and TV/Radio programs • Professional articles in Macedonian Scientific Journals

  16. Which Measures Are We Taking • Workshops and seminars organized by the Macedonian Respiratory Society for specialists in internal medicine, neurology, ENT and GP’s. • Support to establish a Patient's Society of Sleeping Disorders • Negotiation with the Health Fond to cover the costs for CPAP or to obtain certain number of CPAP’s and land to patients.

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