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The second in a series of three volumes presenting a selection of the best studies prepared for the Romanow Commission, this volume focuses on the problem of change in health care and health systems. Combining the talents of experienced health policy experts with innovative researchers, the resulting studies provide unique perspectives on the difficult issues under scrutiny, including complexity in health systems, management of human resources, organizational control and regulation, and public engagement. Commissioned and prepared with applicability as the foremost criteria, all of the studies presented in this volume offer solutions in managing obstacles to change. Each study also includes an appraisal of the most recent literature in the field.