The field of family planning has been at the forefront of the movement to begin prioritizing
quality of health care services as opposed to focusing more narrowly on coverage and utilization.
A focus on quality in family planning began most notably with Judith Bruce's 1990
publication of a framework to assess quality from the client's perspective, informed
by Avedis Donabedian's foundational definition of health care quality in terms of
structure, process and outcome elements [
1
,
2
,
3
]. Bruce's publication came more than a decade before the United States (US) Institute
of Medicine's groundbreaking report Crossing the Quality Chasm [
[4]
] and the World Health Organization's publication of guidance for quality improvement
in health systems [
[5]
], and has informed countless efforts to monitor and improve family planning programs.
Its focus on quality from the client's perspective is in line with the now prominent
“Triple Aim” framework which includes patient experience as one of three organizing
principles of optimal health systems, in addition to cost and population health [
[6]
].To read this article in full you will need to make a payment
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Article info
Publication history
Published online: June 20, 2017
Accepted:
June 11,
2017
Received in revised form:
April 20,
2017
Received:
September 13,
2016
Footnotes
☆Conflicts of interest: none.
☆☆Funding: This work was supported by the David and Lucile Packard Foundation.
Identification
Copyright
© 2017 Elsevier Inc. All rights reserved.
