Linking Patient-Centered Outcomes to Neuropsychological Practice: A Conceptual Framework and Opportunities for Research

Author:

Colvin M K1ORCID,Roebuck-Spencer T M2,Sperling S A3,Acheson S4,Bailie J M567,Espe-Pfeifer P8,Glen T9ORCID,Bragg T10,Bott N11,Hilsabeck R C12

Affiliation:

1. Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School , Boston, MA, USA

2. Jefferson Neurobehavioral Group , Private Practice, Houston, TX, USA

3. Center for Neurological Restoration, Neurological Institute , Cleveland Clinic, Cleveland, OH, USA

4. Department of Psychiatry and Behavioral Sciences, Duke University Medical Center , Durham NC, USA

5. Traumatic Brain Injury Center of Excellence , Silver Spring, MD, USA

6. Naval Hospital Camp Pendleton , Camp Pendleton, CA USA

7. General Dynamics Information Technology , Fairfax, VA, USA

8. Roy J. and Lucille A. Carver College of Medicine, University of Iowa , Department of Psychiatry, Iowa City IA, USA

9. Neuropsychology, Inc. , Private Practice, Jacksonville, FL, USA

10. Fielding Graduate University , School of Psychology, Santa Barbara CA, The Center for Multicultural Training in Psychology, Boston University School of Medicine and Boston Medical Center, Boston MA, USA

11. Clinical Excellence Research Center , Department of Medicine, Stanford University, Stanford, CA, USA

12. Department of Neurology, University of Texas at Austin Dell Medical School , Austin, TX, USA

Abstract

AbstractIn the current healthcare climate, reimbursement for services is increasingly linked to the ability to demonstrate beneficial patient outcomes. Neuropsychology faces some unique challenges in outcomes research, namely, that neuropsychologists often do not follow patients over time and the effect of neuropsychological services on patient outcomes may not be fully realized until under another provider’s care. Yet there is an urgent need for empirical evidence linking neuropsychological practice to positive patient outcomes. To provide a framework for this research, we define a core set of patient-centered outcomes and neuropsychological processes that apply across practice settings and patient populations. Within each area, we review the available existing literature on neuropsychological outcomes, identifying substantial gaps in the literature for future research. This work will be critical for the field to demonstrate the benefit of neuropsychological services, to continue to advocate effectively for reimbursement, and to ensure high-quality patient care.

Publisher

Oxford University Press (OUP)

Subject

Psychiatry and Mental health,Clinical Psychology,Neuropsychology and Physiological Psychology,General Medicine

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