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Purpose
The purpose of this paper is to develop a new approach to health service quality assurance.
Design/methodology/approach
Data were collected using a structured, eight-section questionnaire. Stratified random samples were drawn from four villages based in four Indian regions.
Findings
Psychological discomfort is an infant mortality rate (IMR) mediating factor. The root mean square error of approximation fit statistic for the model was 0.08, which was considered the best fit.
Practical implications
Addressing mediating causes can reduce IMR in developing countries.
Originality/value
The model that the authors described helps health institution managers to map quality assurance health management and economics.
© Emerald Publishing Limited
2018
Emerald Publishing Limited
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