Issues and challenges in quality assurance of health care

Int J Qual Health Care. 1994 Mar;6(1):5-15. doi: 10.1093/intqhc/6.1.5.


In this paper I review the health care crisis in the United States and conclude that fundamental changes must be made. I then present: (1) an organizational approach that might be encompassed in President Clinton's program for health care reform; (2) my "dream" of a national quality improvement system for reform, based on The Netherlands Model; and (3) a suggestion that strengthening primary care will be the key to the success of this reform in the coming years.

MeSH terms

  • Health Care Reform / legislation & jurisprudence
  • Health Care Reform / trends*
  • Humans
  • National Health Insurance, United States / trends
  • National Health Programs / trends
  • Netherlands
  • Primary Health Care / legislation & jurisprudence
  • Primary Health Care / trends*
  • Quality Assurance, Health Care / legislation & jurisprudence
  • Quality Assurance, Health Care / trends*
  • United States