. "Session 1: Conceptual Issues in Collaboration." Collaboration Among Competing Managed Care Organizations for Quality Improvement. Washington, DC: The National Academies Press, 1999.
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must be balanced, but the desired outcomes of collaborative efforts are not always easily agreed upon.
In sum, collaboration can be useful, especially if the industry is fragmented, but it is difficult to achieve. Organizations need to understand that collaborative activities can be costly, but they can also present potential advantages.