title: Academic health centers in turbulent times: strategies for survival.
abstract: Given the increasingly turbulent health care environment, the strategic adaptation of academic health centers (AHCs) provides an opportunity to investigate the effects of drastic change on a population of organizations. This article identifies and categorizes the adaptive behavior using existing strategic typologies, while exploring the implications for hospital managers.
authors.affiliation: Cecil G. Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, USA.
authors.forename: S
authors.initials: S
authors.lastname: Topping
authors.forename: J
authors.initials: J
authors.lastname: Hyde
authors.forename: J
authors.initials: J
authors.lastname: Barker
authors.forename: F D
authors.initials: FD
authors.lastname: Woodrell
mesh_terms: D000046:Academic Medical Centers / Q000191:economics / Q000458:organization & administration*; D019058:Community Networks; D003299:Cooperative Behavior; D003659:Decision Making, Organizational; D004465:Economic Competition / Q000639:trends; D005544:Forecasting; D019981:Health Care Sector / Q000639:trends*; D006754:Hospital Restructuring / Q000639:trends*; D006801:Humans; D008329:Managed Care Programs / Q000458:organization & administration*; D009935:Organizational Affiliation; D009936:Organizational Innovation; D009937:Organizational Objectives; D020415:Personnel Downsizing; D010934:Planning Techniques; D014481:United States