JAMA Network December 22, 2020
Sheila Leatherman, MSW; Donald M. Berwick, MD, MPP

Improving the quality of health care is not an enterprise reserved for wealthier countries. Many lower-resourced countries, historically focused on expanding access to essential health services, now place a similar priority on higher quality. Universal health coverage, a key Sustainable Development Goal,1 is meaningful only if the access it ensures is to effective and safe health services.

The State of Quality of Care Worldwide

A turning point in both scholarship and activism on quality of care was the publication of 2 landmark reports from the Institute of Medicine (now National Academy of Medicine): To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century. These reports had...

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