title: Building healthy communities in the 21st century.
abstract: A profound set of changes is occurring all around us in health care. Many of our organizations are going through a merger or consolidation; some are struggling to grow their net revenue; some are prospering in the new competitive environment; others are trying to figure out just how to survive. Our task is to create health care organizations that work, especially in a world where everything constantly seems up in the air. We know that fundamental change is required. The changes that effect our health care organizations can often times have a profound effect on our communities.
authors.affiliation: Parkland Medical Center, Derry, NH, USA.
authors.forename: S W
authors.initials: SW
authors.lastname: Goodspeed
mesh_terms: D018672:Community Health Planning / Q000458:organization & administration* / Q000639:trends; D003159:Community-Institutional Relations; D006305:Health Status Indicators; D009937:Organizational Objectives; D014481:United States / Q000453:epidemiology