  
	
  
Snapshots of Change in Fifteen Communities:
Context and Catalysts for Change in Health Care Markets
Summer 1996 
Health Affairs, vol.15, no.2 (Summer 1996):121-129 
 Patricia  Lichiello, Carolyn  Madden 
 nderstanding the nature of change in health care markets involves
    recognizing that not all communities are alike, and hence not all health care markets look
    or act the same. In a study of 15 communities sponsored by The Robert Wood Johnson
    Foundation, the characteristics and culture of each community interacted with market
    conditions to influence the magnitude, direction, and sustainability of health system
    change. A catalyst attuned to a markets context can ignite change, giving the market
    focus and direction. Recognizing the importance of context to the process of change
    enhances our ability to understand the consequences of proposed market activities.  
 Free access to this article is available at the Health 
  Affairs Web site. 
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