title: [A scientific approach to the definition of quality in medical care: a model for Mexican reality].
abstract: This paper analyzes the problem of quality of medical care and its evolution in various health service institutions. It concludes that quality strategies for countries like Mexico should be of the decentralized/participant type, and that all quality programs in medical care should include five fundamental elements: evaluation, monitoring, design, development, and organizational change.
authors.affiliation: Instituto Regional de Salud Publica, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jalisco, México.
authors.forename: A M
authors.initials: AM
authors.lastname: Ramírez
authors.forename: J E
authors.initials: JE
authors.lastname: García
authors.forename: S R
authors.initials: SR
authors.lastname: Fraustro
vernacular_title: Definición del Problema de la calidad de la atención médica y su abordaje científico: un modelo para la realidad Mexicano.