Criteria, norms and standards of quality: what do they mean?

• Published in: American journal of public health (1971) Vol. 71; no. 4; pp. 409 - 412
• Main Author: Donabedian, A
• Format: Journal Article
• Language: English
• Published: United States Am Public Health Assoc 01.04.1981; American Public Health Association
• Subjects: Quality of Health Care; Reference Standards; Terminology as Topic
• ISSN: 0090-0036; 1541-0048
• DOI: 10.2105/AJPH.71.4.409

Quality assessment requires specification of: 1) a set of phenomena that are usually attributes of either process or outcome; 2) a general rule of what constitutes goodness; and 3) a precise numerical statement of what constitutes acceptable or optimal goodness with respect to each of these phenomena. The terms "criteria," "norms," and "standards," as currently employed, do not correspond well with these three components, but they could be used effectively if the basic distinctions were understood. Alternatively, one could use, as corresponding terms, "elements," "parameters," and "standards." The terms "criteria," and "norms" would then be redefined and be available to be used more uniformly, while "standards" could be further differentiated according to method of measurement, configuration, level, and flexibility.