Advanced Health Services Exam 2 Practice

Two broad directions push for change: internal forces and external forces. internal forces come from within the organization—things like performance gaps, leadership priorities, culture, and inefficiencies that make current ways unsustainable. external forces come from outside the organization—shifts in customer needs, competitive pressure, regulatory changes, or new technologies that require a different approach. This dual-source view helps explain why change is sought and how it unfolds, since both what happens inside and what happens outside can drive the need to adapt. Other options describe specific pressures or focus on one area, but they don’t capture the paired origin of change pressure.