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Attempts a contribution to the area of health care quality by presenting a framework for thinking about, and improving our understanding of, measuring quality in health care. To achieve this object, addresses the multidimensionality of quality management in health care. Delineates the dimensions of quality measurements in health care, focusing on both output and process issues. Stresses the need for the measures to relate to patient requirements and shows how these measurements can be driven back into care services as a means of facilitating quality improvement in the health care environment. Concludes by discussing the implications of the framework for managers and by providing direction for future research within the context of the framework.

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