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Purpose

The purpose of the paper is to examine commitment to quality assurance within health authorities.

Design/methodology/approach

The paper discusses approaches to achieving the requisite changes, including what to change and how to increase readiness for change; motives for change, where to start and prerequisites for change.

Findings

The paper finds that health authorities have a tendency to look at quality assurance as a professional luxury which deals with the subtleties of care rather than with its essence and that a strategy for change is needed.

Originality/value

The paper provides useful information on the development of quality assurance in health care.

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