Health Affairs , vol.15, no.2 (Summer 1996): 7-20
Paul B. Ginsburg
eams of researchers visited 15 communitiesselected to reflect a range of health care market development, regions, and population sizeto obtain a "snapshot" of health system change. The study found that organizational change is pervasive, even in those communities that do not receive attention in the trade press, but that much of the change has not yet affected consumers. While the forces driving change are similar across the communities, the responsesand the shape of changediffer in important ways. Factors leading to the differences include the size and capabilities of existing health care organizations, the communitys experience with managed care, and the political and business cultures of the community.
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