Health Care Analysis

, Volume 11, Issue 3, pp 259–267

The Meaning of Quality in Health Care: A Conceptual Analysis

  • P. P. M. Harteloh

DOI: 10.1023/B:HCAN.0000005497.53458.ef

Cite this article as:
Harteloh, P.P.M. Health Care Analysis (2003) 11: 259. doi:10.1023/B:HCAN.0000005497.53458.ef


During the past three decades, there has been an ongoing debate on the quality of health care. Defining quality is an important part of it. This paper offers a review of definitions and a conceptual analysis in order to understand and explain the differences between them. The analysis results in a semantic rule, expressing the meaning of quality as an optimal balance between possibilities realised and a framework of norms and values. This rule is postulated as a formal criterion of meaning, e.g. when (correctly) applied people understand each other. The rule suits the abstract nature of the term “quality.” Quality doesn't exist as such. It is constructed in an interaction between people. This interaction is guided by rules in order to transfer information, e.g. communicate on quality. The rule improves our ability to discuss the debate on quality and to develop a theory grounding actions such as quality assurance or quality improvement.

quality of health care conceptual analysis definitions of quality theory of meaning philosophy health policy 

Copyright information

© Kluwer Academic Publishers 2003

Authors and Affiliations

  • P. P. M. Harteloh
    • 1
  1. 1.Department of Health Policy and Management. P. P. M. HartelohErasmus MC/Erasmus University RotterdamRotterdamThe Netherlands

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