Cultura

The Multidisciplinary Nexus Of Modern Healthcare Delivery: Examining The Collaborative Roles Of Pharmacy, Radiology, Medical Records, And Health Administration Professionals Across Hospital Systems And Primary Care Settings

VOLUME 22, 2025

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Mubark Alqahtani, Deamah Khalid Alshjary, Ali Musharraf Alamri, ‎ Ahmed Mobel Alenezi, Ahmed Shahan Mohammad Alharbi, Mobarak Al Arfi, Abdulaziz Bin Ayed Aljohani, Moaz Mohammed Khalil Abujabal
Abdullah Saud Mazyad Alrashidi, Mohammed Abdulrahman Aljehani, Naif Nuwaifei Nuwaiji Al-Harbi, Abdulrahman Ateek Alrehaili, Sultan Salem Saad Alenazi, Mohammed Hamid Alsehaimi, Yasser Khalaf Almutairi

Abstract

This study explores the evolving interdisciplinary nature of healthcare delivery across hospital systems and primary care settings, with specific focus on four essential professional domains: pharmacy, radiology, medical records, and health administration. Drawing on contemporary research, the analysis examines how these disciplines have transformed beyond their traditional boundaries to adopt increasingly collaborative, patient-centered approaches. Hospital and community pharmacists have expanded from medication dispensing to clinical partners in therapeutic decision-making, while radiologists integrate advanced imaging capabilities into multidisciplinary treatment planning. Medical records professionals have evolved from documentation specialists to data stewards facilitating clinical analytics and population health management, and health administrators orchestrate complex operational systems while partnering with clinical leaders on quality improvement initiatives. The article identifies critical factors supporting effective interdisciplinary collaboration, including organizational culture, leadership commitment, role clarity, and communication structures. It also addresses how technological innovations simultaneously enable and disrupt collaborative practice while creating new imperatives for interprofessional education and practice model evolution. As healthcare complexity increases, the successful integration of specialized knowledge across these professional domains emerges not merely as an operational preference but as an essential requirement for delivering high-quality, patient-centered care in contemporary healthcare environments.

Keywords : .
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty