Radical Reorientation of the US Health Care System Around Relationships

Christine A. Sinsky, MD; Tait D. Shanafelt, MD; and Alexandra M. Ristow, MD

Over the past several decades, health care has increasingly been conceptualized as a series of independent encounters (ie, transactions) that can be distributed nearly randomly among health care workers: any physician can round on the patient, any clinician can be on the other side of the telemedicine screen, any resident can cover “continuity clinic.” Although this is a factor in almost all specialties, this transactional mindset that treats physicians as interchangeable parts is particularly problematic in specialties where continuity and longitudinal care play a critical role (eg, primary care disciplines, neurology, oncology, and psychiatry).

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By |2022-11-08T12:11:08-05:00October 12th, 2022|