Strategy Making in Health Care Organizations: A Framework and Agenda for Research

*A. C. Buehler Distinguished Professor of Hospital and Health Services Management, and Professor of Organization Behavior, J. L. Kellogg Graduate School of Management; Director, Program in Organization Behavior in Health, Center for Health Services and Policy Research, Northwestern University, Evanston, Ill. †Project Coordinator, Center for Health Services and Policy Research, Northwestern University, Evanston, Ill.; Doctoral Candidate, Department of Sociology, University of Chicago, Chicago, Ill. ‡Doctoral Candidate, Department of Organization Behavior, J. L. Kellogg Graduate School of Management, Northwestern University, Evanston, Ill. The American health care system is in transition. The transition is captured in both language and symbols. Observers speak of an &dquo;industry&dquo; rather than a &dquo;system&dquo; and there has been movement from a &dquo;cottage industry&dquo; to corporate consolidation, from health care as

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