title: The changing health care delivery structure: opportunities for nursing practice and administration.
abstract: The increase in national health care expenditures has placed great stress on the economy and has contributed to a widespread consensus that reform of the health care delivery system is necessary. Three interrelated strategies are frequently used to cope with the turbulent environment in the health care industry today: managed care, hospital merger and acquisition to form integrated health care delivery systems, and redefined roles for nurses and other health care workers. These strategies have profound implications and will offer great opportunities for nursing administrators to foster nursing practice in new and improved systems of care delivery.
authors.forename: M
authors.initials: M
authors.lastname: Barter
authors.forename: J
authors.initials: J
authors.lastname: Graves
authors.forename: J
authors.initials: J
authors.lastname: Phoon
authors.forename: K
authors.initials: K
authors.lastname: Corder
mesh_terms: D002322:Career Mobility; D003695:Delivery of Health Care; D018166:Health Care Reform; D006801:Humans; D009718:Nurse Administrators; D009936:Organizational Innovation; D012380:Role; D014481:United States