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Published: 02/06/2005, Volume II5, No. 5958 Page 24

What course should you steer without falling through the gaps between rational exigencies and political pressures, local priorities and national demands?

Evaluation is an inherent part of health service management. But in an era of escalating reform, the focus for that evaluation and the best processes can be hard to determine.

In Effective Health Care Management: an evaluative approach, Colin Palfrey et al examine the multiple systems by which performance is measured and identify the sources of conflict that challenge management aptitudes.

Published by Blackwell Publishing, price£24.99.