The Challenge of Quality Improvement in Our Health System�

Quality in health as a concept, as a demand and as a measurable indicator of success
has long been forgotten or underestimated. Just a few decades ago, it has entered in
its dictionary and programs. Yet it is still perceived as an optional innovation, but
not as a necessity and priority to it.
The same thing happens in our health system. The challenge of structured
quality improvement, security and performance started too late, in 2006 with the
establishment of QKCSA-ISH. Thereafter, it began to be mentioned more often in
political, managerial and professional rhetoric; but mainly as a sermon and desire,
not in a concrete way and not in a consistent manner with the major objective of
the health reform.
In fact, health systems are not perfect nowadays. They have impressive
achievements but also serious defects and serious deficiencies. And there is a
need for quality review and improvement. They almost do not differ from each
other by the universal principles and their guiding values. But they differ from the
architecture of functionality and especially from their performance and quality.
And this from one country to another, and also strangely between countries of the
same community as those of EU.