{"id":"https://openalex.org/W1521022909","doi":"https://doi.org/10.1215/03616878-24-5-1107","title":"A Balanced Framework for Change","display_name":"A Balanced Framework for Change","publication_year":1999,"publication_date":"1999-10-01","ids":{"openalex":"https://openalex.org/W1521022909","doi":"https://doi.org/10.1215/03616878-24-5-1107","mag":"1521022909","pmid":"https://pubmed.ncbi.nlm.nih.gov/10615622"},"language":"en","primary_location":{"id":"doi:10.1215/03616878-24-5-1107","doi":"https://doi.org/10.1215/03616878-24-5-1107","is_oa":false,"landing_page_url":"https://doi.org/10.1215/03616878-24-5-1107","pdf_url":null,"source":{"id":"https://openalex.org/S192655146","display_name":"Journal of Health Politics Policy and Law","issn_l":"0361-6878","issn":["0361-6878","1527-1927"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-a","anvur-class-a","anvur-scientific","cwts-core","fnege-4","jufo-1","medline","norway-1","poland-100","russia-white-list-2"],"host_organization":"https://openalex.org/P4310315698","host_organization_name":"Duke University Press","host_organization_lineage":["https://openalex.org/P4310315698","https://openalex.org/P4310315572"],"host_organization_lineage_names":["Duke University Press","Duke University"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Health Politics, Policy and Law","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5070849148","display_name":"David Mechanic","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I102322142","display_name":"Rutgers, The State University of New Jersey","ror":"https://ror.org/05vt9qd57","country_code":"US","type":"education","lineage":["https://openalex.org/I102322142"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"David Mechanic","raw_affiliation_strings":["Rutgers University, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rutgers University, USA","institution_ids":["https://openalex.org/I102322142"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5070849148"],"corresponding_institution_ids":["https://openalex.org/I102322142"],"apc_list":null,"apc_paid":null,"fwci":1.7015,"has_fulltext":false,"cited_by_count":4,"citation_normalized_percentile":{"value":0.87422132,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"24","issue":"5","first_page":"1107","last_page":"1114"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.4171999990940094,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.4171999990940094,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13896","display_name":"Health Services Management and Policy","score":0.1860000044107437,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13149","display_name":"Organizational Change and Leadership","score":0.09629999846220016,"subfield":{"id":"https://openalex.org/subfields/1407","display_name":"Organizational Behavior and Human Resource Management"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-care-reform","display_name":"health care reform","score":0.7360000014305115},{"id":"https://openalex.org/keywords/health-policy","display_name":"health policy","score":0.7459999918937683},{"id":"https://openalex.org/keywords/health-law","display_name":"health law","score":0.45500001311302185},{"id":"https://openalex.org/keywords/health-politics","display_name":"health politics","score":0.4410000145435333}],"concepts":[{"id":"https://openalex.org/C2778447006","wikidata":"https://www.wikidata.org/wiki/Q1156474","display_name":"Icon","level":2,"score":0.861268162727356},{"id":"https://openalex.org/C2778805511","wikidata":"https://www.wikidata.org/wiki/Q1713","display_name":"Citation","level":2,"score":0.6877487897872925},{"id":"https://openalex.org/C2780154274","wikidata":"https://www.wikidata.org/wiki/Q7126717","display_name":"Download","level":2,"score":0.5576971173286438},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.48171645402908325},{"id":"https://openalex.org/C23123220","wikidata":"https://www.wikidata.org/wiki/Q816826","display_name":"Information retrieval","level":1,"score":0.4679253101348877},{"id":"https://openalex.org/C94625758","wikidata":"https://www.wikidata.org/wiki/Q7163","display_name":"Politics","level":2,"score":0.4440832734107971},{"id":"https://openalex.org/C178218473","wikidata":"https://www.wikidata.org/wiki/Q180711","display_name":"Search engine optimization","level":3,"score":0.4265184700489044},{"id":"https://openalex.org/C161191863","wikidata":"https://www.wikidata.org/wiki/Q199655","display_name":"Library science","level":1,"score":0.4021366834640503},{"id":"https://openalex.org/C136764020","wikidata":"https://www.wikidata.org/wiki/Q466","display_name":"World Wide Web","level":1,"score":0.35327762365341187},{"id":"https://openalex.org/C97854310","wikidata":"https://www.wikidata.org/wiki/Q19541","display_name":"Search engine","level":2,"score":0.32679301500320435},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.29717010259628296},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.1757044494152069},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0807623565196991}],"mesh":[{"descriptor_ui":"D001294","descriptor_name":"Attitude to Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004465","descriptor_name":"Economic Competition","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006291","descriptor_name":"Health Policy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008329","descriptor_name":"Managed Care Programs","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D009936","descriptor_name":"Organizational Innovation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011785","descriptor_name":"Quality Assurance, Health Care","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D012051","descriptor_name":"Reimbursement Mechanisms","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015276","descriptor_name":"Health Care Rationing","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1215/03616878-24-5-1107","doi":"https://doi.org/10.1215/03616878-24-5-1107","is_oa":false,"landing_page_url":"https://doi.org/10.1215/03616878-24-5-1107","pdf_url":null,"source":{"id":"https://openalex.org/S192655146","display_name":"Journal of Health Politics Policy and Law","issn_l":"0361-6878","issn":["0361-6878","1527-1927"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-a","anvur-class-a","anvur-scientific","cwts-core","fnege-4","jufo-1","medline","norway-1","poland-100","russia-white-list-2"],"host_organization":"https://openalex.org/P4310315698","host_organization_name":"Duke University Press","host_organization_lineage":["https://openalex.org/P4310315698","https://openalex.org/P4310315572"],"host_organization_lineage_names":["Duke University Press","Duke University"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Health Politics, Policy and Law","raw_type":"journal-article"},{"id":"pmid:10615622","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10615622","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of health politics, policy and law","raw_type":"Journal Article"},{"id":"pmh:oai:muse.jhu.edu:/article/15416","doi":null,"is_oa":false,"landing_page_url":"https://muse.jhu.edu/article/15416","pdf_url":null,"source":{"id":"https://openalex.org/S4377196299","display_name":"Project Muse (Johns Hopkins University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I145311948","host_organization_name":"Johns Hopkins University","host_organization_lineage":["https://openalex.org/I145311948"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"text"},{"id":"pmh:oai:repository.library.georgetown.edu:10822/927740","doi":null,"is_oa":false,"landing_page_url":"http://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=A+Balanced+Framework+for+Change&title=Journal+of+Health+Politics,+Policy+and+Law+&volume=24&issue=5&spage=1107-1114&date=1999-10&au=Mechanic,+David","pdf_url":null,"source":{"id":"https://openalex.org/S4306402467","display_name":"DigitalGeorgetown (Georgetown University Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210145449","host_organization_name":"Center for Security and Emerging Technology","host_organization_lineage":["https://openalex.org/I4210145449"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"eweb:207881","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.8999999761581421,"id":"https://metadata.un.org/sdg/16","display_name":"Peace, justice, and strong institutions"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":18,"referenced_works":["https://openalex.org/W567816470","https://openalex.org/W1973261148","https://openalex.org/W2007783083","https://openalex.org/W2008491958","https://openalex.org/W2037771857","https://openalex.org/W2056785937","https://openalex.org/W2064768666","https://openalex.org/W2075013878","https://openalex.org/W2075743811","https://openalex.org/W2110934868","https://openalex.org/W2155630083","https://openalex.org/W2312626273","https://openalex.org/W2328011167","https://openalex.org/W2330597428","https://openalex.org/W2402405692","https://openalex.org/W4237793003","https://openalex.org/W4250039107","https://openalex.org/W6987310696"],"related_works":["https://openalex.org/W1491024008","https://openalex.org/W7064785089"],"abstract_inverted_index":{"Journal":[0],"of":[1],"Health":[2],"Politics,":[3],"Policy":[4],"and":[5],"Law":[6],"-":[7],"Volume":[8],"24,":[9],"Number":[10],"5,":[11],"October":[12],"1999":[13]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}