  
	
  
Snapshots of Change in Fifteen Communities:
Introduction and Overview
Summer 1996 
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.  
 Free access to this article is available at the Health 
  Affairs Web site. 
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