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For many years state intervention into the health care arena has been characterized as symbolic, ie, as proclaiming action in the name of reform but as primarily serving the material interests of dominant elites. Recent entry of new elites into that arena & changes in economic conditions, however, have resulted in a divergence of material intrests among these elite groups. In Florida, state intervention in response to fiscal & legitimation crisis in the hospital industry has resulted in: ( 1) a manifestation of elite conflict both in the legislative arena & in other state institutions; (2) legislative intervention; & (3) a shift in relations between elites & the state. 19 References. Modified HA

Services "integration" is presented as a multidimensional concept & analyzed as an organizational innovation relative to: (1) four hierarchical levels of service delivery systems; (2) causal relations among the dimensions of integration; & (3) claimed benefits of integrated services. The focus of analysis is human services, but extensions are made to other service sectors (ie, local government). It is concluded that a dimensional (rather than global) approach facilitates research, practice, & theorizing relative to services integration. 2 Figures, 44 References. HA.