Health care delivery on Micro and Macro Levels

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: from two of the list below:

1.    Emerging healthcare reform
2.    Managed care
3.    Total quality improvement
4.    Integrated healthcare delivery systems e.g. alliances, networks, mergers
5.    Organizational downsizing