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Table 1.

Participant demographics.

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Fig 1.

Schematic of organizational growing pains.

Changes create social stress, widening cultural differences. Tension can build, deepening the exiting divide. If the organization is able to respond to this, it may mature and rise to achieve shared goals.

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Fig 1 Expand

Table 2.

Conflicting perceptions of changes within the healthcare system.

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Table 2 Expand

Table 3.

Cultural differences between administrators and physicians.

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Table 3 Expand

Fig 2.

Graphic representation of primary culture divide between physicians, clinician-administrators, and administrators plotted along axes of time horizon and acuity.

(A) Shows these divisions in relationship to patient versus organizational care. (B) Shows these divisions as physician-based short V-shaped versus administrator-based longer time horizon W-shaped in relation to decision making.

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Fig 2 Expand