title: Are we paving cowpaths?
authors.affiliation: University of Michigan Hospitals, Ann Arbor, USA.
authors.forename: E J
authors.initials: EJ
authors.lastname: Gaucher
mesh_terms: D000046:Academic Medical Centers / Q000458:organization & administration*; D006754:Hospital Restructuring / Q000458:organization & administration*; D008824:Michigan; D009936:Organizational Innovation; D009937:Organizational Objectives; D010557:Personnel Administration, Hospital / Q000639:trends