"Travers presents an unbiased overview of the tension between professions and the state over the claim that quality improvement will result from quantitative measurement. The book has international implications for those who may be influenced by the optimistic assertions of quality assurance proponents but lack an understanding of the stresses that develop when quality assurance measures are implemented." Carolyn L. Wiener, Ph.D., Adjunct Professor, University of California San Francisco, is the author of The Elusive Quest: Accountability in Hospitals WIENER'S IS A TESTIMONIAL - MOVE BACK "Quality assurance practices have grown rapidly since the early 1980s, touching every aspect of life in public organizations. This important book is the first to get inside this phenomenon and examines the practice of quality assurance as both an emergent occupation and as a form of regulation." Michael Power, Professor of Accounting, London School of Economics and Political Science