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The Challenge to Change
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The Challenge to Change: Reforming Health Care on the Front Line in the United States and the United Kingdom

Rebecca Kolins Givan


There is constant pressure on hospitals to improve health care delivery and increase cost effectiveness. New initiatives are the order of the day in the dramatically different health care systems of the United States and Great Britain. Often these efforts are not successful. This book analyzes the successes and failures of efforts to improve hospitals and explains what factors make it likely that the implementation of reforms will be rewarded by positive transformation in a particular institution's day-to-day operation. The book's in-depth qualitative case studies of both top-down initiatives ... More

Keywords: health care delivery, cost effectiveness, health care systems, hospital improvement, hospital workers, hospital care

Bibliographic Information

Print publication date: 2016 Print ISBN-13: 9780801450051
Published to Cornell Scholarship Online: January 2017 DOI:10.7591/cornell/9780801450051.001.0001


Affiliations are at time of print publication.

Rebecca Kolins Givan, author
Rutgers University