Fundamental elements of the quality of care: A simple framework
Document Type
Article (peer-reviewed)
Publication Date
1990
Abstract
This article argues for attention to a neglected dimension of family planning services—their quality. A framework for assessing quality from the client’s perspective is offered, consisting of six parts (choice of methods, information given to clients, technical competence, interpersonal relations, follow-up and continuity mechanisms, and the appropriate constellation of services). The literature is reviewed regarding evidence that improvements in these various dimensions of care result in gains at the individual level; an even scarcer body of literature is reviewed for evidence of gains at the level of program efficiency and impact. A concluding section discusses how to make practical use of the framework and distinguishes three vantage points from which to view quality: the structure of the program, the service-giving process itself, and the outcome of care, particularly with respect to individual knowledge, behavior, and satisfaction with services.
Recommended Citation
Bruce, Judith. 1990. "Fundamental elements of the quality of care: A simple framework," Studies in Family Planning 21(2): 61–91.
DOI
10.2307/1966669
Language
English