Why has the long-term care field been subject to strong competition in the past? Why has that changed?

Competition and cooperation, integration : It is not an really essay. You just need to answers these questions:
1-Why has the long-term care field been subject to strong competition in the past? Why has that changed?
2-What is the difference between cooperation and integration?
3-What is an integrated health network?
4-What is an integrated health system?
5-Under what circumstances might a long term care organization choose to join an integrated system? An integrated network?
6-What are some of the potential economies of scale resulting from integrated?
7-What are some of the benefits of integration for long-term care consumers?
8-How are management and governance of an individual organizational entity?
9-Why are information systems so important to integration efforts?
10-Why is the planning so important to integrated networks or systems?
11-What do you think of the text’s suggestions for marketing strategies? Do you doctors should be allowed to market their services at all? Why or why not?
# Note: Here is an online link for the book, it may help you.

http://books.google.com/books?id=5hJLvPie2OUC&printsec=frontcover&dq=long+term+care+managing+across+the+continuum+3rd+edition&hl=en&src=bmrr&ei=e_npTJ-3Gs2r8AaLn-mVCQ&sa=X&oi=book_result&ct=book-thumbnail&resnum=1&ved=0CDAQ6wEwAA#v=onepage&q&f=false

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