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Purpose

The purpose of the paper is to examine health care performance and accountability.

Design/methodology/approach

A strategic view of how quality assurance fits into other initiatives aimed at bringing about improvements in health care is offered in the paper.

Findings

The paper finds that the task of defining the way in which health care can be most efficiently and effectively delivered is the concern of all health care staff. Aims, should be clarified, performance criteria and measures agreed on and, wherever possible and appropriate standards set up. Management also has the responsibility of ensuring the consistency and coherence of the many different activities that contribute to the aim of good health care.

Originality/value

The paper provides useful information on the planning and performance of quality assurance in health care.

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