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Abstract
In a landmark article published 50 years ago, Avedis Donabedian proposed using the triad of structure, process, and outcome to evaluate the quality of health care. That triad, along with his eventual seven pillars of quality, continues to inform efforts to improve care.
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1 From the Institute for Healthcare Policy and Innovation (J.Z.A., H.M.), the Departments of Internal Medicine (J.Z.A.) and Pediatrics and Communicable Diseases (H.M.), the Medical School (J.Z.A., H.M.), the Department of Health Management and Policy, School of Public Health (J.Z.A., H.M.), the Gerald R. Ford School of Public Policy (J.Z.A.), and the Center for the History of Medicine (H.M.), all at the University of Michigan, Ann Arbor.