"This conjoint care may represent the kind of coordinated, multidisciplinary care that is the state-of-the-art management for patients with chronic conditions," psychiatrist Benjamin Druss, M.D., told Psychiatric News. "In other cases, it may represent the same patient seeing multiple providers who are not communicating effectively or who are working at cross purposes. Certainly, there have been a lot of forces that have been creating incentives for different kinds of providers to work together. But many of the same forces are also often creating a system that is very hard to navigate. In all likelihood, these are not mutually exclusive. Patients are seeing more providers for the right reason and in some cases for the wrong reason."