Giles Gordon Muir, Edwards Dorothy Farrar, Morrison M Tracy, Baum Carolyn, Wolf Timothy J
Gordon Muir Giles, PhD, OTR/L, FAOTA, is Professor, Samuel Merritt University, Oakland, CA, and Director of Neurobehavioral Services, Crestwood Behavioral Health, Inc., Sacramento, CA;
Dorothy Farrar Edwards, PhD, is Professor, Departments of Kinesiology and Medicine, University of Wisconsin-Madison.
Am J Occup Ther. 2017 Sep/Oct;71(5):7105090010p1-7105090010p6. doi: 10.5014/ajot.2017.715001.
Occupational therapists have a long history of assessing functional cognition, defined as the ability to use and integrate thinking and performance skills to accomplish complex everyday activities. In response to passage of the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014 (Pub. L. 113-185), the American Occupational Therapy Association has been advocating that the Centers for Medicare and Medicaid Services consider functional cognition for inclusion in routine patient assessment in postacute care settings, with important implications for occupational therapy. These efforts have the potential to increase referrals to occupational therapy, emphasize the importance of addressing functional cognition in occupational therapy practice, and support the value of occupational therapy in achieving optimal postacute care outcomes.
职业治疗师评估功能认知已有很长历史，功能认知被定义为运用和整合思维及执行技能以完成复杂日常活动的能力。为响应2014年《改善医疗保险后期急性护理转型（IMPACT）法案》（公法第113 - 185号）的通过，美国职业治疗协会一直主张医疗保险和医疗补助服务中心考虑将功能认知纳入急性后期护理环境中的常规患者评估，这对职业治疗具有重要意义。这些努力有可能增加职业治疗的转诊，强调在职业治疗实践中解决功能认知问题的重要性，并支持职业治疗在实现最佳急性后期护理结果方面的价值。
