Management Development and Change in a Demanding Health Care Environment

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Abstract
The problems facing many US health care organisations may prove critical for survival for many of them. The article outlines the nature of the problems: increased patient demands, tensions among personnel, technological innovation, cost‐conscious purchasers of care, the need to improve cost‐efficiency, and barriers to change within organisations. This last presents a number of problems that may often seem intractable and are peculiar to this type of organisation. This is discussed.

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