week 2 discussion question 1 , Choose two elements from the following list and analyze how each has changed healthcare delivery on both the macro and micro levels. Provide specific examples of how both macro and micro impacts/changes:

Emerging health care reform
Managed care
Total quality improvement
Integrated health care delivery systems e.g. alliances, networks, mergers
Organizational downsizing

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preview of the answer..

Over the years, there has been an increase in competition and advances in medical sciences, which leads to a rise in the patient expectation. As a result, the health care systems have become complex organizations. There is the need to balance the resources and the patient satisfaction and this is where Total Quality Management comes in. an improvement in the system has made sure that the patients obtain high quality services and at the same time ensuring maximum utilization of the available resource. An improvement in the total quality management means that more lives are saved every year. Using an example of a research conducted, in India nearly one million people die every year due to inadequate health care …

342 words APA