Ruelas-Barajas E
Fundación Mexicana para la Salud, México, D.F.
Salud Publica Mex. 1993 May-Jun;35(3):298-304.
This article analyses some of the different relationships between the three concepts. Even though for some time the emphasis was made on the need to improve productivity, apparently under the assumption that the levels of quality would then be improved, there is evidence now that the best way to go is exactly the opposite. Increases in productivity not necessarily produce better quality and can even harm it. Therefore, it is proposed that strategies of quality assurance should be prioritized in order to improve productivity and contain costs.
本文分析了这三个概念之间的一些不同关系。尽管在一段时间内重点是提高生产力，显然是假定质量水平随后会得到提高，但现在有证据表明，最佳途径恰恰相反。生产力的提高不一定会带来更好的质量，甚至可能损害质量。因此，建议应优先考虑质量保证策略，以提高生产力并控制成本。
