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Title: Why Vascular Surgeons and Interventional Radiologists Collaborate or Compete: A Look at Endovascular Stent Placements

Abstract

PurposeTo understand how cultural differences between vascular surgeons (VSs) and interventional radiologists (IRs) affect their clinical decision making and inter-specialty relationships.MethodsTwenty-four conversational interviews were conducted with IRs and VSs about their approaches to patient care, views of their specialty and others, and solutions to any expressed concerns. Interview transcripts were systematically analyzed to identify and compare key themes according to the constructivist grounded theory and content analysis using NVivo 10 software. These data were supplemented with a retrospective analysis of 3658 endovascular stent placements performed at a large medical academic center over 11 years. Aggregate counts were divided by provider specialty, and trends were assessed via correlation coefficients.ResultsEndovascular stent placements were relatively equally divided between IR and VS over 11 years with some variability from placements by cardiology. IRs tend to lay claim to treatments as masters of procedures, whereas VSs base their claims on being masters of the treated diseases, leading to collaboration in some practices and bitter competition in others. The level of perceived competition was most associated with specialists’ awareness of and appreciation for specialty-specific values rather than differences in practice structure/reimbursement.ConclusionsUnderstanding cultural differences between IRs and VSs is imperative for fostering better collaboration to grow shared territorymore » rather than competing for the same slice of the pie.« less

Authors:
;  [1];  [2];  [1];  [3];  [1]
  1. Northwestern University Feinberg School of Medicine, Department of Radiology (United States)
  2. Northwestern University Feinberg School of Medicine, Center for Bioethics and Medical Humanities (United States)
  3. Northwestern University Feinberg School of Medicine, Department of Obstetrics and Gynecology-Reproductive Endocrinology and Infertility (United States)
Publication Date:
OSTI Identifier:
22645183
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 40; Journal Issue: 6; Other Information: Copyright (c) 2017 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; COMPUTER CODES; DECISION MAKING; PATIENTS; THERAPY; VASCULAR DISEASES

Citation Formats

Keller, Eric J., Collins, Jeremy D., Crowley-Matoka, Megan, Chrisman, Howard B., Milad, Magdy P., and Vogelzang, Robert L., E-mail: vogelzang@northwestern.edu. Why Vascular Surgeons and Interventional Radiologists Collaborate or Compete: A Look at Endovascular Stent Placements. United States: N. p., 2017. Web. doi:10.1007/S00270-017-1570-Z.
Keller, Eric J., Collins, Jeremy D., Crowley-Matoka, Megan, Chrisman, Howard B., Milad, Magdy P., & Vogelzang, Robert L., E-mail: vogelzang@northwestern.edu. Why Vascular Surgeons and Interventional Radiologists Collaborate or Compete: A Look at Endovascular Stent Placements. United States. doi:10.1007/S00270-017-1570-Z.
Keller, Eric J., Collins, Jeremy D., Crowley-Matoka, Megan, Chrisman, Howard B., Milad, Magdy P., and Vogelzang, Robert L., E-mail: vogelzang@northwestern.edu. Thu . "Why Vascular Surgeons and Interventional Radiologists Collaborate or Compete: A Look at Endovascular Stent Placements". United States. doi:10.1007/S00270-017-1570-Z.
@article{osti_22645183,
title = {Why Vascular Surgeons and Interventional Radiologists Collaborate or Compete: A Look at Endovascular Stent Placements},
author = {Keller, Eric J. and Collins, Jeremy D. and Crowley-Matoka, Megan and Chrisman, Howard B. and Milad, Magdy P. and Vogelzang, Robert L., E-mail: vogelzang@northwestern.edu},
abstractNote = {PurposeTo understand how cultural differences between vascular surgeons (VSs) and interventional radiologists (IRs) affect their clinical decision making and inter-specialty relationships.MethodsTwenty-four conversational interviews were conducted with IRs and VSs about their approaches to patient care, views of their specialty and others, and solutions to any expressed concerns. Interview transcripts were systematically analyzed to identify and compare key themes according to the constructivist grounded theory and content analysis using NVivo 10 software. These data were supplemented with a retrospective analysis of 3658 endovascular stent placements performed at a large medical academic center over 11 years. Aggregate counts were divided by provider specialty, and trends were assessed via correlation coefficients.ResultsEndovascular stent placements were relatively equally divided between IR and VS over 11 years with some variability from placements by cardiology. IRs tend to lay claim to treatments as masters of procedures, whereas VSs base their claims on being masters of the treated diseases, leading to collaboration in some practices and bitter competition in others. The level of perceived competition was most associated with specialists’ awareness of and appreciation for specialty-specific values rather than differences in practice structure/reimbursement.ConclusionsUnderstanding cultural differences between IRs and VSs is imperative for fostering better collaboration to grow shared territory rather than competing for the same slice of the pie.},
doi = {10.1007/S00270-017-1570-Z},
journal = {Cardiovascular and Interventional Radiology},
number = 6,
volume = 40,
place = {United States},
year = {Thu Jun 15 00:00:00 EDT 2017},
month = {Thu Jun 15 00:00:00 EDT 2017}
}