Abstract
Europe has a long tradition of sleep research. Sleep medicine evolved in parallel with other countries worldwide. The European Sleep Research Society (ESRS) promotes both sleep science and sleep medicine. Sleep medicine is more a national issue because health care systems are very different across the European countries. Some countries have large national sleep societies with sleep center accreditation and sleep expert certification. Other countries rely heavily on the ESRS. The ESRS tries to set consensus rules for sleep expert certification and sleep center accreditation and provides education for sleep experts and technologists. Publications on these issues are compiled and published in the Journal of Sleep Research. The implementation of these steps is coordinated among the European countries and is recently coordinated with similar activities initiated by the European Respiratory Society. The management of patients with sleep disorders differs among European countries and is strongly linked to reimbursement schemes.
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