Structure, process or outcome: which contributes most to patients’ overall assessment of #healthcare #quality #ptsafety

Structure, process or outcome: which contributes most to patients’ overall assessment of healthcare quality?  This a very interesting paper from patient perspective.   Professor Donabedian already published related papers in Science in 1978 and JAMA in 1988 and milbank in 1966.  Why it takes so long for healthcare industry to appreciate the importance of structure and process ?

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