International Journal for Quality in Health Care Advance Access originally published online on April 10, 2007
International Journal for Quality in Health Care 2007 19(3):125-126; doi:10.1093/intqhc/mzm009
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© The Author 2007. Published by Oxford University Press on behalf of International Society for Quality in Health Care; all rights reserved
Editorial |
Where are the patients in the quality of health care?
E-mail: claire.brown@griffith.edu.au
| The first 10% of the full text of this article appears below. |
While the achievements of the Organisation for Economic Co-Operation and Development (OECD) Health Care Quality Indicators (HCQI) Project [1] are laudable and enable international comparisons of health care systems in terms of a particular type of quality, it is important to remember that quality is not value neutral. As Donabedian pointed out, 1981, explicit measures of quality carry with them the values of those who have defined the measures, and such measures are amenable to being used as instruments of control [2].
Who defines quality and who measures it are pivotal
School of Public Health, Griffith University, Meadowbrook, Queensland, Australia