Before assessment can begin we must decide how quality is to be defined and that depends on whether one assesses only the performance of practitioners or the contributions of patients and of the health care system; on how broadly health and responsibility for health are defined; on whether the maximally effective or optimally effective care is sought; and on whether individual or social preferences define the optimum
Avedis Donabedian
2011
Scholarcy highlights
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Before assessment can begin we must decide how quality is to be defined and that depends on whether one assesses only the performance of practitioners or the contributions of patients and of the health care system; on how broadly health and responsibility for health are defined; on whether the maximally effective or optimally effective care is sought; and on whether individual or social preferences define the optimum
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Though we know much about assessing quality, much remains to be known
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