The Orthopaedic Forum   |    
Recent Socioeconomic Trends in Orthopaedic Practice
James H. Herndon, MD, MBA; Stephen M. Davidson, PhD; Alexios Apazidis, MBA
View Disclosures and Other Information
James H. Herndon, MD, MBA
Partners HealthCare System, Department of Orthopaedic Surgery, Massachusetts General Hospital, 55 Fruit Street, GRB 624, Boston, MA 02114

Stephen M. Davidson, PhD
Boston University School of Management, 595 Commonwealth Avenue, Boston, MA 02215

Alexios Apazidis, MBA
Boston University School of Medicine, 12 Rose Way, Randolph, MA 02368

The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

J Bone Joint Surg Am, 2001 Jul 01;83(7):1097-1105
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case


In the last fifteen years, there have been great changes in the American health-care system. Driven by an increasingly persistent concern about double-digit increases in expenditures, large employers have led a mass migration from indemnity insurance to managed care1. The transition process has not been particularly smooth, however, leading to a backlash against managed care on the part of the general public and physicians2,3. In this article, we examine socioeconomic trends in orthopaedic practice that occurred during this period, including issues related to the workforce, the changing population, and managed care.
Figures in this Article

    First Page Preview

    View Large
    First page PDF preview
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org


    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe

    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    LA - Ochsner Health System
    NY - Icahn School of Medicine at Mount Sinai
    OR - The Center - Orthopedic and Neurosurgical Care and Research
    VA - OrthoVirginia