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Effects of Fragmentation and the Case for Greater Cohesion in Neurologic Care Delivery.

Publication ,  Journal Article
O'Neal, MA; Zecavati, N; Yu, M; Spain, R; Friedenberg, SM; El Husseini, N; Torres-Russotto, DR; Feliciano, B; Spears, R; Baca, C
Published in: Neurology
January 24, 2022

GOALS: To define fragmentation in neurologic care delivery, explain the positive and negative drivers in neurologic practice that contribute to fragmentation, illustrate situations that increase fragmentation risk, emphasize the costs and impact on both patients and providers, and propose solutions that allow for more cohesive care. WORK GROUP: The Transforming Leaders Program (TLP) class of 2020 was tasked by American Academy of Neurology (AAN) leadership to identify the leading trends in inpatient and outpatient neurology and to predict their effects on future neurologic practice. METHODS: Research material included AAN databases, PubMed searches, discussion with topic experts, and AAN leadership. RESULTS: Trends in care delivery are driven by changes in the work force, shifts in health care delivery, care costs, changes in evidence-based care, and patient factors. These trends can contribute to care fragmentation. Potential solutions to these problems are proposed based on care models developed in oncology and medicine. LIMITATIONS: This article shares our opinions as there is a lack of evidence-based guidelines for optimal neurologic care delivery.

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Published In

Neurology

DOI

EISSN

1526-632X

Publication Date

January 24, 2022

Volume

98

Issue

4

Start / End Page

146 / 153

Location

United States

Related Subject Headings

  • Neurology & Neurosurgery
  • 3209 Neurosciences
  • 3202 Clinical sciences
  • 1702 Cognitive Sciences
  • 1109 Neurosciences
  • 1103 Clinical Sciences
 

Citation

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Chicago
ICMJE
MLA
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O’Neal, M. A., Zecavati, N., Yu, M., Spain, R., Friedenberg, S. M., El Husseini, N., … Baca, C. (2022). Effects of Fragmentation and the Case for Greater Cohesion in Neurologic Care Delivery. Neurology, 98(4), 146–153. https://doi.org/10.1212/WNL.0000000000013079
O’Neal, Mary A., Nassim Zecavati, Melissa Yu, Rebecca Spain, Scott M. Friedenberg, Nada El Husseini, Diego R. Torres-Russotto, Briseida Feliciano, Roderick Spears, and Christine Baca. “Effects of Fragmentation and the Case for Greater Cohesion in Neurologic Care Delivery.Neurology 98, no. 4 (January 24, 2022): 146–53. https://doi.org/10.1212/WNL.0000000000013079.
O’Neal MA, Zecavati N, Yu M, Spain R, Friedenberg SM, El Husseini N, et al. Effects of Fragmentation and the Case for Greater Cohesion in Neurologic Care Delivery. Neurology. 2022 Jan 24;98(4):146–53.
O’Neal, Mary A., et al. “Effects of Fragmentation and the Case for Greater Cohesion in Neurologic Care Delivery.Neurology, vol. 98, no. 4, Jan. 2022, pp. 146–53. Pubmed, doi:10.1212/WNL.0000000000013079.
O’Neal MA, Zecavati N, Yu M, Spain R, Friedenberg SM, El Husseini N, Torres-Russotto DR, Feliciano B, Spears R, Baca C. Effects of Fragmentation and the Case for Greater Cohesion in Neurologic Care Delivery. Neurology. 2022 Jan 24;98(4):146–153.

Published In

Neurology

DOI

EISSN

1526-632X

Publication Date

January 24, 2022

Volume

98

Issue

4

Start / End Page

146 / 153

Location

United States

Related Subject Headings

  • Neurology & Neurosurgery
  • 3209 Neurosciences
  • 3202 Clinical sciences
  • 1702 Cognitive Sciences
  • 1109 Neurosciences
  • 1103 Clinical Sciences