

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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