Abstract Objective In pediatric neuropsychology multiple barriers such as long wait times until an appointment, insurance coverage, and limited providers who are bilingual/bicultural or who sub-specialize in pediatric neuropsychology, often slow families from receiving diagnoses and interventions in a timely and affordable manner. This paper focuses on increasing accessibility through the development of a video-based, pediatric teleneuropsychology (TeleNP) practice model that was developed in a private practice 2 years before the COVID-19 pandemic. Method ‘Design thinking’ methodology to problem-solving was utilized to innovate the traditional neuropsychology practice model in under-served areas who may have limited financial and healthcare resources. The practice model approach to include a virtual diagnostic clinic with increased patient and provider efficiency was created to enhance accessibility for patients and sustainability for providers. Results Video-based TeleNP screenings were conducted for 67 children with developmental (i.e., attention deficit hyperactivity disorder, autism spectrum disorder) and language disorders, as well as concussion and psychiatric diagnoses. Additional comorbidities were identified in 65.6% of children. Follow-up data approximately 2 months later revealed 98.5% of children were receiving new interventions as a result of the video-based TeleNP assessment. Conclusion Video-based TeleNP benefits the consumer as it can reduce wait times, decrease family financial burden (i.e., travel and parent time off work), expedite referrals for interventions, and provide geographically under-served populations access to providers who are linguistically and culturally responsive. For providers, this model revealed improvements with direct implications for cost-saving, thereby facilitating long-term economic sustainability within a private practice healthcare marketplace.

中文翻译：

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通过基于视频的远程神经心理学改变儿科神经心理学：COVID-19 之前的创新私人实践模式

摘要 目的在儿科神经心理学中存在多重障碍，例如预约前等待时间长、保险覆盖面以及双语/双文化或儿科神经心理学亚专业提供者有限，往往会拖慢家庭及时且负担得起的接受诊断和干预的速度。 . 本文侧重于通过开发基于视频的儿科远程神经心理学 (TeleNP) 实践模型来提高可访问性，该模型是在 COVID-19 大流行前 2 年在私人诊所开发的。方法 “设计思维”解决问题的方法被用来创新传统的神经心理学实践模式，在服务不足的地区，这些地区的财政和医疗资源可能有限。创建了包含虚拟诊断诊所的实践模型方法，以提高患者和提供者的效率，以提高患者的可及性和提供者的可持续性。结果 对 67 名患有发育障碍（即注意力缺陷多动障碍、自闭症谱系障碍）和语言障碍以及脑震荡和精神病学诊断的儿童进行了基于视频的 TeleNP 筛查。在 65.6% 的儿童中发现了其他合并症。大约 2 个月后的随访数据显示，由于基于视频的 TeleNP 评估，98.5% 的儿童正在接受新的干预措施。结论 基于视频的 TeleNP 使消费者受益，因为它可以减少等待时间，减少家庭经济负担（即旅行和父母的休假时间），加快转介干预措施，并为地理上服务不足的人群提供语言和文化响应的提供者。对于提供者而言，该模型揭示了对节省成本有直接影响的改进，从而促进了私人医疗保健市场的长期经济可持续性。