WHY DONT THEY DO WHAT WE WANT - AN EXPLORATION OF ORGANIZATIONAL RESPONSES TO INSTITUTIONAL PRESSURES IN COMMUNITY-HEALTH CENTERS

Through the use of four comparative case studies, Barbara Bigelow and Melissa Middleton explore the range of factors that influence how community health centers respond to pressures from finders to make substantial cuts to center budgets. Data from these cases suggest that the inter-relationship between internal constellations of power and certain elements in the centers' environment shaped four different responses to institutional pressures. The cares demonstrate that responses to institutional pressures are more complex than the complete compliance often expected by funding sources.