Fourteen original papers venture beyond the Plan-Do-Check-Act clinical audit cycle familiar to quality improvement specialists, in asking fundamental questions about the nature of health care:
Is it a business? How is quality of care defined? What is the role of performance indicators in effecting change? Subject branches are: health care as a business; quality in health care (as
defined by different groups); and using performance indicators (what clinical outcome measures to use, whether to publish results). Since contributors hail from the UK and Montreal, some key US
health care issues are not addressed. Lacks an index. Annotation c. Book News, Inc., Portland, OR (booknews.com)
