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Article
July 1, 1988

Quality Medical CareA Definition

Author Affiliations

From The Center for Values and Social Policy, the Department of Philosophy, University of Colorado at Boulder.

From The Center for Values and Social Policy, the Department of Philosophy, University of Colorado at Boulder.

JAMA. 1988;260(1):56-61. doi:10.1001/jama.1988.03410010064036
Abstract

This article offers a definition of quality medical care. Quality itself is defined not as consisting of the properties of an object but rather as the capacity of these properties to achieve goals. Accordingly, quality medical care is the capacity of the elements of that care to achieve legitimate medical and nonmedical goals. This definition is compared with other current definitions. I offer answers to the questions of how to choose goals, who chooses goals, and what are legitimate goals. Implications of this definition are discussed, particularly with reference to chart review. Because patient values shape goals and because these values are not always assessed and recorded, it is recommended that a formal assessment of patient values become part of the patient's record.

(JAMA 1988;260:56-61)

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