title: Counteractions to the paradigm shift.
abstract: While the benefit of a health-focused paradigm is clear theoretically, the transition is tortuous. This article reviews the difficulties of implementing the paradigm shift presented in the preceding article. This article presents counteractions, clarifies underlying assumptions, presents the need for collaborative action, and highlights the potential contribution of case management to the paradigm shift.
authors.affiliation: School of Nursing, Duquesne University, 631 College Hall, 600 Forbes Avenue, Pittsburgh, PA 15282, USA. thurkettlem@duq.edu
authors.forename: Mary Ann
authors.initials: MA
authors.lastname: Thurkettle
mesh_terms: D019090:Case Management; D003299:Cooperative Behavior; D003695:Delivery of Health Care / Q000458:organization & administration; D006293:Health Promotion; D006801:Humans