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Health System Change in Twelve Communities Compilation of 1996-97 Site Visits |
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Health System Change in Syracuse, New York Case Study |
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Health System Change in Little Rock, Arkansas Case Study |
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Health System Change in Lansing, Michigan Case Study |
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Health System Change in Seattle, Washington Case Study |
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Health System Change in Boston, Massachusetts Case Study |
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Health System Change in Cleveland, Ohio Case Study |
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Health System Change in Greenville, South Carolina Case Study |
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Health System Change in Miami, Florida Case Study |
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Health System Change in Newark, New Jersey Case Study |
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Health System Change in Orange County, California Case Study |
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Health System Change in Indianapolis, Indiana Case Study |
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Health System Change in Phoenix, Arizona Case Study |
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Accountable Communities:
How Norms and Values Affect Health System Change
July/August 1998
Health Affairs, vol.17, no.4 (July/August 1998): 149-157
Caroline Rossi Steinberg, Raymond J. Baxter
Abstract:
conomic forces, policy initiatives and technological change affect market evolution. The pace and direction of that change vary across markets, and other forces unique to communities help explain the variation. These forces arise from underlying community history, cultures and values and in part dictate the response of various players to common forces, which include: pressure from purchasers to reduce prices; the shift to managed care in the public and private sectors; excess capacity; technological developments; and state and federal policy initiatives. These forces drive market consolidation, change the locus of risk management and alter the relationships between providers and patients and between providers and their communities.
For a full copy please visit Health Affairs
