Charles Browning's chapter on practice survival strategies and Michael Pallak's on outcomes measurement techniques seem most helpful to the clinician. Some contributors use unfamiliar terms, and readers may be confused in distinguishing integrated delivery systems from provider hospital organizations, or community accountable healthcare networks from regional group providers. The final chapter, by Janet Cummings on management of suicidal patients, offers interesting clinical vignettes, but the author bases her approach on an obscure model of suicidal ideation. The only reference cited is a film she produced; whether there is any corroboration is unknown, but it again highlights the uncritical editing that is the book's main vulnerability. The book concludes with three appendixes, listing information systems vendors, psychometric instruments, and Internet addresses, all of which may be useful to readers.