Transformation in health care is challenging the roles of all the participants. Clinical service managers are at the point of service and feel the impact of these changes in a dramatic way. Learning new roles and behaviors in managing a continuum-based approach to care delivery will be essential if the organization and its leadership is to thrive in the new health care environment. The task of the time for managers is to become learners in the journey toward a new service delivery system.
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Tim Porter‐O’Grady (1995) studied this question.