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Key Issues in Conceptualization

There is an overall consensus that quality encompasses several dimensions; however there is no agreement on which dimensions. Dimensions vary among definitions and although effectiveness or responsiveness seems to be common to most, others are unique to one definition, such as sustainability or capacity (Kelley & Hurst).”


  • Quality of care: “The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge (Institute of Medicine, 2001; Arah et al., 2004)”.

  • Quality of care: “The provision of the right (effective), coordinated, safe, responsive/patient centred and timely care (Commonwealth Fund, 2006)”.

  • Quality of care: “Is captured through the dimensions of accessibility, equity, effectiveness, safety and responsiveness/centeredness (Kelley & Hurst, 2006)”
Clinical Quality: “Involves the appropriate combination of human inputs, non-human inputs and production systems (Hsiao, 2003)”.

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