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Health care quality is increasingly recognized as a central determinant of health outcomes, system efficiency, and public trust, particularly in low- and middle-income countries (LMICs) where access has expanded faster than quality. While coverage-oriented reforms have improved service availability, suboptimal quality of care continues to undermine gains across communicable diseases, non-communicable diseases, maternal and child health, and preventive services. This narrative review examines the conceptual foundations of health care quality, its measurable dimensions, and its programmatic relevance across diverse health system settings. Drawing upon published evidence from PubMed-indexed literature and empirical insights from the author’s own research in community medicine, adolescent health, infectious diseases, and health systems evaluation, the review highlights how deficiencies in quality contribute to delayed diagnosis, poor adherence, preventable morbidity, and avoidable mortality. The paper synthesizes classical quality frameworks with contemporary implementation challenges, emphasizing the need to shift from utilization-centric metrics toward outcome-oriented, patient-centered quality improvement. Strengthening health care quality is presented not merely as a technical exercise but as a prerequisite for equity, accountability, and sustainable health system performance.
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Newar et al. (2025) studied this question.
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