New Delhi

Different concepts of quality in health care have implications for nature, structure and composition of health service systems. Issues of access, cost and quality of care are intricately linked; for recipients, providers as well as for policy-makers. Quality in health care is a complex construct because it is linked not just with the quality of services provided at the institution and systemic level but has several tangible and intangible dimensions including individual patient’s interests and larger societal concerns about improvement in health status. Quality is an important consideration for choosing the services for recipients, accreditation of hospitals for care providers, and for policy-makers while making decisions regarding health service system models. This article traces the way the issue has been dealt with at the policy and planning level so far, including the National Rural Health Mission (NRHM) as well as in the proposed models for Universal Health Care by the High Level Expert Group (HLEG) and 12th Plan Steering committee reports