Chapter 4Explaining Change in Institutionalized PracticesA Review and Road Map for Research

Thomas D'Aunno

Learning Objectives

  1. Define institutional change.
  2. Understand why institutional change occurs by examining three causal models of institutional change: the exogenous shocks perspective, the endogenous contradictions view, and the intraorganizational dynamics explanation for institutional change.
  3. Understand how institutional change occurs by examining three process models of institutional change: the field-level dynamics model, institutional entrepreneurship models, and change processes within organizations.
  4. Apply institutional change models to recent health reform efforts, including the promotion of integrated services and the expansion ...

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