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- The European health promotion community, especially in the United Kingdom are already into the field of Quality Assurance in a big way, partly stimulated by the "provider-purchaser split" in the UK. There have in fact been several health promotion conferences on this topic in Europe over the past few years and a book by Davies and Macdonald (1998) . Moreover, the European Committee for Health Promotion Development sponsored by the WHO Regional Office for Europe has done quite a bit of work on this issue and as a consequence, we have a paper by Richard Parish summarizing that work in the WHO Evaluation book (www.who.dk/InformationSources/Catalogue/20010911_43)

- Recognizing this trend, our own Centre carried out a one-year project to investigate the concept of Continuous Quality Improvement in relation to health promotion in the context of our work with practitioners. Our conclusions are summarized in a couple of publications ( Kahan and Goodstadt,1999; Rootman, 1997), so I'm not going to go into this in detail. We did however conclude that the concept was relevant to health promotion, albeit with some reservations and modifications. Nevertheless, we abandoned this approach in favor of a "best practices" approach because the practitioners that we were working with felt somewhat uncomfortable in adopting this terminology in health promotion, possibly because of its association with the commercial world