title: Quality improvement in public health institutions.
abstract: Quality issues are integral to providing primary health care. The delivery of health care is a complex process that involves a number of factors such as interpersonal skill, culture, technology and available resources. In general, quality is defined as customer satisfaction at competitive cost. As per John Guaspari, "Quality should not be positioned as the absence of problems as defined by us. It should be positioned as the presence of Value and satisfaction as defined by the customers/clients."
authors.affiliation: ROFEL College of Nursing, Vapi, Gujarat.
authors.forename: Bharti N
authors.initials: BN
authors.lastname: Sanadia
mesh_terms: D006801:Humans; D007194:India; D017146:Models, Organizational; D011634:Public Health / Q000592:standards*; D011785:Quality Assurance, Health Care