of the highly charged environment in which the future of our health care system continues to be debated, there is a … five important themes that emerged from a review of the recent literature on health system change concludes that an … inherent tension exists between the interest in rapidly driving down health care costs through organizational change and the …

This paper examines how user interest in health services research is shaped by the following factors: the current … health care policy environment, the organizations and institutional mechanisms available to advance the movement of health … factors for health services research. It builds on earlier work defining pathways that support the translation of research …

relevant to sates using managed care for expanding health care for low-income people while containing costs. …