Donabedian A
Escuela de Salud Pública, Universidad de Michigan.
Salud Publica Mex. 1993 Jan-Feb;35(1):94-7.
This paper discusses the following priorities: redefining and widening the scope of assessment, redefining assessment methods, redesigning and evaluating quality assurance systems, promoting consumer participation, professionalizing quality assurance, and creating a supportive culture. The article proposes empirical assessment of quality assurance methods as the highest priority. It concludes with the idea that seeking quality is the ethical dimension of professional life. Therefore, all reasonable efforts towards monitoring quality will be successful. Without this, the cleverest monitoring systems will fact.
重新定义和扩大评估范围、重新定义评估方法、重新设计和评估质量保证体系、促进消费者参与、使质量保证专业化以及营造支持性文化。文章提出将质量保证方法的实证评估作为最高优先事项。文章最后得出的观点是，追求质量是职业生活的道德维度。因此，为监测质量所做的一切合理努力都将取得成功。没有这一点，最巧妙的监测系统也将失败。
