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December 10, 2008

Medical Acceptance of Quality Assurance in Health Care: The French Experience

Author Affiliations

Author Affiliations: Department of Public Health, Hotel-Dieu Hospital, Clermont-Ferrand, France (Dr Giraud-Roufast); and French National Authority for Health, Paris, France (Dr Chabot).

JAMA. 2008;300(22):2663-2665. doi:10.1001/jama.2008.805

For 20 years, France, like most other Organization for Economic Cooperation and Development (OECD) countries, has implemented various policies to improve the quality of services rendered to patients. As in all OECD countries, these policies have had mixed, variable, and often inconsistent results and, in all OECD countries, physicians have proved more or less reluctant toward quality assurance as it has been presented. In this Commentary, we consider the medical community's acceptance of quality assurance policies, describe the solutions adopted in France, and suggest some approaches to improve it.