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.
Johnson, J.A. and Wayne Boss, R. (1991), "Management Development and Change in a Demanding Health Care Environment", Journal of Management Development, Vol. 10 No. 4, pp. 5-10. https://doi.org/10.1108/02621719110135632
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