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Two courses that focus on organizational theory are taught for doctoral students and two others are taught for Masters of Public Health students; only the former are relevant. The development and theses of macro-organizational theory are reviewed along with empirical applications to health care organizations like hospitals, nursing homes, and community mental health centers.

In recent years, about one in five American children-some 12 to 14 million-have lived in families in which cash income failed to exceed official poverty thresholds. Another one-fifth live in families whose incomes were no more than twice the poverty threshold.⁸Today's economically based reorganization of the U.S. society is reshaping family structure through distinctive racial patterns. Families mainly headed by women have become permanent in all racial categories, with the disproportionate effects of change more visible among racial ethnics.⁹