A growing emphasis forward market-driven cost-containment strategies causes changes in the auspices.

A growing emphasis forward market-driven cost-containment strategies causes changes in the auspices, configuration and delivery of services in the health care order (Lee & Alexander, 1999; Miller, 2000) chiefly hospitals have restructured to achieve flatter organizational frameworks by the agency of eliminating professionally defined departments so as social work, nursing, and physical therapy. Many have mov to a more service line approach or to more integrative constructions (Berger et al, 1996; Berger, Robbins, Lewis, Mizrahi, & Fleit, 2003; Edwards, Cooke & Reid, 1996; Ginzberg &

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