![]() ![]() Although these concepts of quality were developed in the most sophisticated of health systems, they are sufficiently simple to be applied to any system. The domains of quality, as delineated by the Institute of Medicine (IOM) in the USA, can be used as a framework to define the way we approach the provision of healthcare worldwide. In many countries, there has been a move to examine the delivery of healthcare in terms of quality and safety. The urgent need is to move from quality assurance to quality improvement, to learn how to measure improvement and to develop systems that facilitate safety and reliable delivery of healthcare which inherently minimises risk. The issue now is to improve the delivery of healthcare rather than the development of new treatment modalities. It is a truism that if we applied the knowledge we now possess, even without any new innovations, millions of people would be cured of the conditions that afflict them. Access to the standardised and reliable care that should be provided is often difficult to obtain. This, of course, differs from country to country, as well as within countries and communities. The development of new treatment modalities has had a significant impact on many people. However, providing better care requires a proactive approach from the providers.įrom a scientific point-of-view, healthcare has improved dramatically over the past 50 years. ![]() Reliability and safety are now essential components of healthcare. ![]()
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