Insurance Coverage & Costs
Access to Care
Uninsured and Low-Income
Racial/Ethnic Disparities
Safety Net Providers
Community Health Centers
Hospitals
Physicians
Insured People
Quality & Care Delivery
Health Care Markets
Issue Briefs
Data Bulletins
Research Briefs
Policy Analyses
Community Reports
Journal Articles
Other Publications
Surveys
Site Visits
Design and Methods
Data Files
Monitoring Market Change: Findings from the Community Tracking Study:
The Community Tracking Study Analyses of Market Change: Introduction
April 2000
Health Services Research, vol.35, no.1, Part 1 (April 2000): 7-16
Paul B. Ginsburg, Peter Kemper, Raymond J. Baxter, Linda T. Kohn
his essay introduces and describes the research methodology common to two articles that report on a systematic study of health system change based on site visits to a national cross-section of U.S. cities. As part of the Community Tracking Study, researchers visited 12 metropolitan statistical areas with populations over 200,000 and conducted from 36 to 60 in-person interviews with leaders of organizations involved in the financing and delivery of health care. The interviews were conducted in 1996 and 1997. Interview modules were designed to obtain multiple perspectives on a question, and the communities were compared to identify common patterns of change and differences across communities. Researchers found that fundamental changes in the way care is actually delivered is likely to lag behind the extensive changes in organizational relationships that are taking place.
For a full copy please visit Health Services Research.
