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1_{Institute of Health Policy and Management, College of Public Health, National Taiwan University, Room 1515, 1,} Sec.1, Jen-Ai Road, Taipei, Taiwan, R.O.C.

2_{Graduate Institute of Health Care Organization Administration, College of Public Health, National Taiwan} University, Taipei, Taiwan, R.O.C.

* Correspondence author. E-mail: shcheng@ha.mc.ntu.edu.tw Received: Jul 16, 2004 Accepted: Nov 23, 2004

The evolution of healthcare quality assessment: from

accreditation to report card system

YU-JUNG WEI1, KUO-PIAO CHUNG2, SHOU-HSIA CHENG1,*

Quality of health care is one of the core values in the healthcare delivery system. Many nations have made essential efforts in the assessment, assurance, and improvement of healthcare quality. The purpose of this article is to describe the evolution in healthcare quality improvement and assessment in the United States and in Taiwan. Evidence shows that quality assurance was initially established by implementing a hospital accreditation mechanism; accompanied by contin-uous development of quality indicators to monitor the quality of healthcare. As the cost-contain-ment pressure increased, health professionals began to adapt industrial managecost-contain-ment tools and create evidence-based practice guidelines to improve the quality of healthcare. Recent develop-ments include consumer involvement in quality assessment and public disclosure of quality information. It is hoped that the quality information provision will facilitate consumers' choice among providers and accelerate the process of professional quality improvement. Finally, the article provides sever-al recommendations for policy consideration. (Taiwan J Public Hesever-alth. 2005;24(4):275-283)