![]() ![]() System control mechanisms may be technologically embedded, institutional, or behavioral. Methods: A qualitative comparative analysis focusing on the British National Health Service and the Kaiser Permanente health maintenance organization to show how system infrastructures vary according to market dynamics dominated by health care institutions ("push") or by consumer demand ("pull"). Objective: To identify the effects of ideological differences on health care market infrastructures including the Internet and telecommunications technologies by a comparative case analysis of two large health care organizations: the British National Health Service and the California-based Kaiser Permanente health maintenance organization. The costs of health care delivery systems, products, and services continue to rise everywhere, but performance of health care delivery is associated with institutional and ideological considerations as well as availability of financial and technological resources. Ann C Séror, PhD Faculté des Sciences de l'Administration Université Laval Ste.-Foy Québec Canada Email: ABSTRACT Background: The Internet and emergent telecommunications infrastructures are transforming the future of health care management. ![]()
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