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Furthermore, increased competition amongst providers due to deregulation or consolidation has also forced firms to innovate in order to remain competitive. Finally, economic pressures resulting from decreased reimbursement rates or out-of-pocket costs have put additional strain on organizations leading them to search for new ways to remain profitable while still delivering high-quality care.
Overall, these various elements have coalesced into what we now refer to as “transformational” change – referring not only to changes necessary at the individual level but also shifts required at the organizational or systemic levels so that greater improvements can be achieved across all aspects of health care delivery.