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March 17, 1999

Defining and Improving Health Care Quality

Author Affiliations

Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor

JAMA. 1999;281(11):984-985. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-11-jbk0317

To the Editor: The article by Dr Chassin and colleagues1 notes that health care quality can be defined, that there is a need to improve quality, and that current approaches to quality improvement in health care are not successful. We agree with the authors' suggestions that continuous quality improvement techniques have been adopted slowly and that market pressures do not reward excellence in quality.

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