Quality of care in institutional deliveries: the paradox of the Dominican Republic: a commentary on management

Abstract

Quality of service has two main dimensions. First, service should meet accepted standards or norms.Second, service should please clients.In medical and health services the first—the technical dimension—is dominant.This is even more true in emergency services, where there is question of life or death.However, if services are weak on the second, the human dimension, clients may avoid them altogether (perhaps resorting to home treatments) or seek less effective services elsewhere.Either of these alternatives may lead to poor outcomes