title: Understanding a changing environment.
authors.forename: P R
authors.initials: PR
authors.lastname: Hamann
mesh_terms: D001291:Attitude of Health Personnel; D018166:Health Care Reform / Q000639:trends*; D006801:Humans; D008329:Managed Care Programs / Q000639:trends*; D008910:Minnesota; D011785:Quality Assurance, Health Care / Q000639:trends