title: Bracing for survival.
abstract: As health care continues to move toward smaller, more consolidated support services, materiel managers will face constricted promotion and employment opportunities. Flexibility and a willingness to embrace change as the occasion for personal and professional advancement will be two hallmarks of success. This article focuses on outsourcing and integrated delivery networks by discussing the challenges and opportunities they present.
authors.affiliation: GNYHA Services, Inc., New York, NY, USA.
authors.forename: J F
authors.initials: JF
authors.lastname: Sheil
mesh_terms: D003284:Contract Services; D019033:Delivery of Health Care, Integrated; D004496:Education, Continuing; D004651:Employment; D006740:Hospital Administrators / Q000193:education; D006754:Hospital Restructuring; D008421:Materials Management, Hospital / Q000458:organization & administration; D009936:Organizational Innovation; D014481:United States; D000078329:Workforce