Relational Healthcare in a Transactional World ft. Dr. Dewayne Book, MD
Mon Dec 01 2025
In this episode, Dr. Dewayne Book, MD, Chief Medical Officer, and Tripp Johnson, founder and CEO of Advaita Health, discuss something that has quietly become the core of how we operate: relational healthcare.
This is not just a style of psychiatry. It is the underlying philosophy that shapes how we care for patients, how we support clinicians, how we supervise, how we hire, and even how we design our business model. In a world that keeps moving toward speed, scale, and 10-minute encounters, we are intentionally moving in the opposite direction. Longer visits, weekly supervision, salaried compensation, low turnover, in-person collaboration, and the belief that real relationships are not only clinically superior, but operationally sustainable.
We talk openly about what a relational organization looks like in practice, why relational care is harder in the short term but better in the long term, and the guardrails required to protect it as you grow. We also contrast it with transactional models, RVU-driven practices, and the pressures that push most healthcare organizations toward volume over connection.
If you’re a clinician who’s tired of feeling like a productivity unit, a leader wrestling with how to scale without losing your soul, or a patient wondering why your appointments keep getting shorter, this conversation offers a different way forward.
Listen in and see what relational healthcare looks like when you build an entire organization around it.
About Flourish by Advaita Health
Flourish by Advaita Health explores how people, providers, and communities move from suffering to flourishing. Each episode weaves together perspectives from healthcare, wellness, and human experience — from the science of mental and physical health to the art of living well.
Advaita Health is a North Carolina–based behavioral health organization dedicated to supporting whole-person flourishing. Learn more about our work and clinical services below.
🌿 Advaita Health: advaitahealth.com 🩺 Advaita Integrated Medicine: aimwellbeing.com 🎙️ Podcast: Flourish by Advaita Health 📸 Instagram: @advaitahealth 💼 LinkedIn: Advaita Health 📩 Subscribe for new episodes and updates
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In this episode, Dr. Dewayne Book, MD, Chief Medical Officer, and Tripp Johnson, founder and CEO of Advaita Health, discuss something that has quietly become the core of how we operate: relational healthcare. This is not just a style of psychiatry. It is the underlying philosophy that shapes how we care for patients, how we support clinicians, how we supervise, how we hire, and even how we design our business model. In a world that keeps moving toward speed, scale, and 10-minute encounters, we are intentionally moving in the opposite direction. Longer visits, weekly supervision, salaried compensation, low turnover, in-person collaboration, and the belief that real relationships are not only clinically superior, but operationally sustainable. We talk openly about what a relational organization looks like in practice, why relational care is harder in the short term but better in the long term, and the guardrails required to protect it as you grow. We also contrast it with transactional models, RVU-driven practices, and the pressures that push most healthcare organizations toward volume over connection. If you’re a clinician who’s tired of feeling like a productivity unit, a leader wrestling with how to scale without losing your soul, or a patient wondering why your appointments keep getting shorter, this conversation offers a different way forward. Listen in and see what relational healthcare looks like when you build an entire organization around it. About Flourish by Advaita Health Flourish by Advaita Health explores how people, providers, and communities move from suffering to flourishing. Each episode weaves together perspectives from healthcare, wellness, and human experience — from the science of mental and physical health to the art of living well. Advaita Health is a North Carolina–based behavioral health organization dedicated to supporting whole-person flourishing. Learn more about our work and clinical services below. 🌿 Advaita Health: advaitahealth.com 🩺 Advaita Integrated Medicine: aimwellbeing.com 🎙️ Podcast: Flourish by Advaita Health 📸 Instagram: @advaitahealth 💼 LinkedIn: Advaita Health 📩 Subscribe for new episodes and updates