Abstract
Under the Omnibus Budget Reconciliation Act of 1986, the Unites States Congress has called for a study of the quality of care of Medicare beneficiaries and a strategy to assure it. The quality of laboratory services is an important component of that assessment and assurance, and hospitals need a methodology for it. The Guidelines for Quality Assessment of the Coun cil on Medical Service of the American Medical As sociation can be used as a basis for a model that links structure, process, and outcome criteria to the inter play of people, equipment, and systems that comprise the laboratory. This can then support the develop ment of a monitoring and evaluation program for its services.
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