Snapshots of Change in Fifteen Communities:

Hospitals in a Changing Health Care System

Summer 1996
Health Affairs , vol.15, no.2 (Summer 1996): 49-61
Kathryn Saenz Duke

ealth system change is happening locally, and hospitals are at the center of this change. This paper, which presents data from a 1995 study of 15 diverse communities, sketches the broad economic and organizational forces affecting hospitals in these communities and the hospitals’ responses. Within these larger trends, local flavors and differences emerge. These appear to reflect variations in each community’s employment base and health care purchasing experience, in the history and political strength of health system stakeholders and in regional issues of culture or religious affiliation for some hospitals

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