Evaluated nine diverse HIV/AIDS training programs to determine the degree to which programs produced changes in the way that health care systems delivered HIV/AIDS care. More than half the 218 trainees interviewed gave at least one example of a systems change. (SLD)

Compares three system models (closed, open, dissipative) with traditional models for adoption of new technology and library operations. Argues that information-provider organizations (libraries) must be able to adapt to radical changes in their environments in order to remain viable economic entities. (Author/AEF)

Analyzes the change that Internet-based OPACs (Online Public Access Catalogs) have represented to the structure, administration, and maintenance of the catalogs, retrieval systems, and user interfaces. Examines the structure of databases and traditional principles that have governed systems development. Discusses repercussions of the application…

This qualitative research study aimed to examine the nature of systems change and to identify practices and strategies that states, specifically New Hampshire, use to promote community integration and deinstitutionalization of people with developmental disabilities. The study describes the New Hampshire system, including state practices,…

The notion of optimal population is recast as a problem of optimal scale (population times per capita resource use). Considers bioeconomic limits to scale. Discusses the choice between many people at low resource use per capita versus fewer people at higher resource per capita and suggests a policy that serves both efficiency and sufficiency.…