Although it continued to operate at about 7,000 surgeries per year, by late 1997 the portion of non-Canadian patients coming to Shouldice Hospital had declined to about five per cent with a corresponding change in the Hospital's economic fortunes. A marketing consultant has developed a marketing plan for the hospital. Students have to analyse the economic, political and technological changes that have occurred since 1983, evaluate the marketing plan and decide how the hospital should proceed. This case is intended to follow the 1983 Harvard case, Shouldice Hospital Limited (9-683-068).
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