Socioeconomic Implications of Professional Relationships within Modern Care Delivery Systems

Nitin Agarwal; Stephanie M Casillo; Gary Simonds; Andrew Wakefield; Jeremy Phelps; Mark E Linskey; Randy Bell; Omar Zalatimo; S Hassan Akbari; Matthew Decker; Michael J Benko; Ciara Harraher; Vincent Wang; Bharat Guthikonda; Kristopher T Kimmell; Richard Menger; Joshua M Rosenow; Jeffrey Cozzens; Clemens Schirmer; Council of State Neurosurgical Societies

doi:10.1016/j.wneu.2021.04.035

Socioeconomic Implications of Professional Relationships within Modern Care Delivery Systems

World Neurosurg. 2021 Jul:151:353-363. doi: 10.1016/j.wneu.2021.04.035.

Authors

Nitin Agarwal¹, Stephanie M Casillo², Gary Simonds³, Andrew Wakefield⁴, Jeremy Phelps⁵, Mark E Linskey⁶, Randy Bell⁷, Omar Zalatimo⁸, S Hassan Akbari⁹, Matthew Decker¹⁰, Michael J Benko¹¹, Ciara Harraher¹², Vincent Wang¹³, Bharat Guthikonda¹⁴, Kristopher T Kimmell¹⁵, Richard Menger¹⁶, Joshua M Rosenow¹⁷, Jeffrey Cozzens¹⁸, Clemens Schirmer¹⁹; Council of State Neurosurgical Societies

Affiliations

¹ Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA. Electronic address: agarwaln@upmc.edu.
² Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
³ Virginia Tech Carilion School of Medicine Carilion Clinic, Roanoke, Virginia, USA.
⁴ Hartford HealthCare Medical Group, Windsor, Connecticut, USA.
⁵ INTEGRIS Spine and Neurological Surgery, Oklahoma City, Oklahoma, USA.
⁶ Department of Neurological Surgery, University of California Irvine, Irvine, California, USA.
⁷ Walter Reed National Military Medical Center, Bethesda, Maryland, USA.
⁸ LifeBridge Health Quarry Lake Center, Baltimore, Maryland, USA.
⁹ Department of Neurosurgery, Washington University School of Medicine in St. Louis, St. Louis, Missouri, USA.
¹⁰ Department of Neurosurgery, University of Florida, Gainesville, Florida, USA.
¹¹ Department of Neurosurgery, Carilion Clinic, Roanoke, Virginia, USA.
¹² Department of Neurosurgery, Stanford University School of Medicine, Stanford, California, USA.
¹³ Seton Brain and Spine Institute Neurosurgery, Austin, Texas, USA.
¹⁴ Department of Neurosurgery, Louisiana State University Health Sciences Center, Shreveport, Louisiana, USA.
¹⁵ Department of Neurosurgery, University of Rochester Medical Center, Rochester, New York, USA.
¹⁶ Department of Neurosurgery, University of South Alabama, Mobile, Alabama, USA.
¹⁷ Department of Neurosurgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
¹⁸ Division of Neurosurgery, Southern Illinois University School of Medicine, Springfield, Illinois, USA.
¹⁹ Department of Neurosurgery and Neuroscience Institute, Geisinger Health System and Geisinger Commonwealth School of Medicine, Wilkes-Barre, Pennsylvania, USA and Research Institute of Neurointervention, Paracelsus Medical University, Salzburg, Austria.

PMID: 34243669
DOI: 10.1016/j.wneu.2021.04.035

Abstract

No physician can successfully deliver high-value patient care in the modern-day health care system in isolation. Delivery of effective patient care requires integrated and collaborative systems that depend on dynamic professional relationships among members of the health care team. An overview of the socioeconomic implications of professional relationships within modern care delivery systems and potential employment models is presented.

Keywords: Ethics; Practice plans; Professional relationships.

Publication types

Review

MeSH terms

Delivery of Health Care / economics*
Delivery of Health Care / methods
Humans
Neurosurgery / economics
Neurosurgery / methods
Neurosurgery / organization & administration*
Patient Care Team / economics*
Patient Care Team / organization & administration*
Socioeconomic Factors*