title: A critical study of quality parameters in health care establishment: developing an integrated quality model.
abstract: OBJECTIVE
  The purpose of this article is to identify and critically analyze healthcare establishment (HCE) quality parameters described in the literature. It aims to propose an integrated quality model that includes technical quality and associated supportive quality parameters to achieve optimum patient satisfaction.
  
  
  METHODS
  The authors use an extensive in-depth healthcare quality literature review, discerning gaps via a critical analysis in relation to their overall impact on patient management, while identifying an integrated quality model acceptable to hospital staff.
  
  
  RESULTS
  The article provides insights into contemporary HCE quality parameters by critically analyzing relevant literature. It also evolves and proposes an integrated HCE-quality model.
  
  
  CONCLUSIONS
  Owing to HCE confidentiality, especially regarding patient data, information cannot be accessed.
  
  
  CONCLUSIONS
  The integrated quality model parameters have practical utility for healthcare service managers. However, further studies may be required to refine and integrate newer parameters to ensure continuous quality improvement.
  
  
  CONCLUSIONS
  This article adds a new perspective to understanding quality parameters and suggests an integrated quality model that has practical value for maintaining HCE service quality to benefit many stakeholders.
authors.affiliation: Department of Management Studies, Indian Institute of Technology, Roorkee, India. inboxazam@gmail.com
authors.forename: Mohammad
authors.initials: M
authors.lastname: Azam
authors.forename: Zillur
authors.initials: Z
authors.lastname: Rahman
authors.forename: Faisal
authors.initials: F
authors.lastname: Talib
authors.forename: K J
authors.initials: KJ
authors.lastname: Singh
mesh_terms: D019981:Health Care Sector / Q000458:organization & administration* / Q000592:standards / Q000706:statistics & numerical data; D006801:Humans; D017146:Models, Organizational; D017060:Patient Satisfaction; D058996:Quality Improvement / Q000458:organization & administration* / Q000592:standards / Q000706:statistics & numerical data; D019984:Quality Indicators, Health Care