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Abstract
Objective: To gather illustrative data from clinical neuropsychologists who are working in integrated care settings in order to provide an initial blueprint for moving forward in this new era of health care. Method: A survey was designed to illustrate the ways in which neuropsychologists are participating in integrated care teams and distributed on major neuropsychology listservs. The survey evaluated the settings, roles, services provided, practice issues, remuneration, and impact of neuropsychologists’ participation in integrated care teams with respect to patient care and health outcomes. Frequencies were used to summarize the findings as well as qualitative coding of narrative responses. Results: There were 412 respondents to the survey and 261 of those indicated that they worked in at least one integrated care setting. Neuropsychologists work in a variety of integrated care settings and provide diverse services which contribute to improved patient care and outcomes. Conclusions: Three primary themes emerge from the findings with regard to the engagement and teams: advocacy, collaboration, and communication. We argue for the need for more easily accessible outcome studies illustrating the clinical benefits and cost-savings associated with inclusion of neuropsychologists in integrated care teams. In addition, educational and training initiatives are needed to better equip current and future clinical neuropsychologists to function effectively in integrated care settings.
Acknowledgements
We gratefully acknowledge the work of Francesca Arias, Sean Coad, and Punam Rahman who coded much of these data as well as Kevin Duff and Michael Basso for helpful comments on this manuscript.
Disclosure statement
No potential conflict of interest was reported by the authors.
Notes
1. The goal of the HONE IN project was to gather existing evidence demonstrating the cost-effectiveness of neuropsychological services and the efficacy of clinical neuropsychology in health and medical outcomes.