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January 31, 1977

Quality Assurance in Health Care

JAMA. 1977;237(5):484. doi:10.1001/jama.1977.03270320062031

If each individual American has a right to quality medical care, then the medical profession must supply that care. But how are the standards of quality to be defined, and who will do it? Can quality care be rendered at a cost that will not bankrupt insurers, both private and governmental? Ought quality to be defined by criteria set up by the medical profession, regardless of cost? Or ought cost effectiveness to be an essential part of quality determination at every step?

These and a host of other considerations are dealt with in an important new book that will be a valuable reference source for those who try to define quality in health care and ways to achieve good health care.

The book discusses such concepts as the following: mandatory continuing education and recertification requirements will probably do little to improve quality of care, but the development of better practice