Transforming a health care system: Managing change for community gain

The research explores a health authority's strategies for altering service delivery patterns towards increased community-based, health-promoting care. (3) It focusses on understanding how change is managed within health system transitions, how service delivery options are impacted, and whether links to health outcomes are possible. The primary objective of the study was to identify, describe and compare strategies adopted by the regional health au thority to rebalance the delivery of health services between acute institut ional treatment and health-promoting community-based care. Secondary objectives were more outcome-focussed: to identify intended resul ts of rebalancing efforts; to analyze progress towards expected results; an d, to describe measurable alterations to service delivery.