Introduction to Volume. Health Care Systems: Issues of Chronic Care and Systems Integration. (J. Jacobs Kronenfeld). Section 1: Health Care Systems and Providers of Care. The Effects of Care Management Effectiveness and Practice Autonomy on Physicians' Practice and Career Satisfaction. (Thomas.T.H. Wan, Yen Ju Lin, Bill B. L. Wang). Public Support for Rural Health Care: Federal Programs and Local Hospital Subsidies. (M.K. Zimmerman, R. McAdams). Too Poor to Get Sick? The Implications of Place, Race, and Costs on the Health Care Experiences of Residents in Poor Urban Neighborhoods. (S. Barnes). Changing Health Care Experiences and Perspectives for Older Adults: Comparisons of HMO and Fee-For-Services Enrollees. (E. Kahana et al.). The Formulary, Physician, and Pharmacist: Managing and Delivering Outpatient Drug Benefits. (M. Penner, S.J. Penner, W. Keck). Section 2: Home and Community Based Care and Systems of Care: the Elderly and Chronic Care Populations. Older Persons' Expectations and Satisfaction with Home Care: Theoretical Origins and Uncharted Realms. (E.J. Porter). The Effects of Race and Gender on Predicting In-Home and Community-Based Service Use by Older Americans. (Man Wai A. Lun). Service System Integration: Panacea for Chronic Care Populations? (T.L. Scheid). Sense of Coherence and Mental Health Service Utilization: The Case of Family Caregivers of Community-Dwelling Cognitively-Impaired Seniors. (N.R. Chumbler et al.). Section 3: Lessons from Beyond the United States. The Emergence of Self-Managed Attendant Services in Ontario. (K. Yoshida et al.). Who Crashes onto Dialysis? Health Determinants of Patients Who are Late Referred to Chronic Care in Canada. (N. Blythe, C. Benoit). Who Advocates for Patients when Health Care Systems Fail? Ensuring Access to Essential Medicines in South Africa (and the US). (M.E. Campbell, P.J. Ballantyne). At First You Will Not Succeed: Negotiating for Care in the Context of Health Reform. (I.L. Bourgeault et al.).