| KRATKA VSEBINA | Quality is a concept that defines a value-dependent judgement about a certain object or phenomenon under consideration. Quality assessment is a process, showing the level of accordance between quality criteria of the reviewer/s (customers, clients, stakeholders) and actual attributes of products, servicesorsystems. Qualityassessment therefore always contains subjective values of the reviewer/-s. This also means, that some differences in quality assessment of dimensions,elements and processes of health system and health system as a whole are inevitable and legitimate and indicates the need for focusing essential attention to such differences in the origins of projecting of systems for quality assessment and in the management of different aspects of quality within the health system. Nevertheless, a certain degree of "commonvalidity" of definitions, criteria, indicators and reference values (quality standards) is needed to create an effective quality assessment model.The complex nature of the quality concept demands systemic, interdisciplinary/transdisciplinary approach and use of qualitative and quantitative methods of scientific work either in health system quality assessment or in the process of creation of health quality systems. Every health quality system modelling should also consider environmental influences upon the estimated system. // Kakovost je koncept, ki opredeljuje vrednostno presojo kakega predmeta ali pojava. Presoja kakovosti je proces, ki pokaže, v kolikšni meri so lastnosti izdelkov, storitev ali sistemov skladne z merili kakovosti presojevalca/-ev (uporabnikov, odjemalcev, deležnikov). Presoja kakovosti zato vedno vsebujetudi subjektivne vrednote ocenjevalca/-ev. To hkrati pomeni, da so nekatererazlike v vrednotenju kakovosti posameznih razsežnosti, prvin, procesov in celotnega zdravstvenega sistema neizbežne in legitimne, kar je potrebno že v izhodiščih upoštevati tudi pri snovanju sistemov za presojo kakovosti in pri upravljanju različnih vidikov kakovosti v zdravstvu. Ne glede na to pa je za oblikovanje učinkovitih modelov presoje potrebna določena stopnja splošne veljavnosti opredelitev, meril in kazalnikov kakovosti ter referenčnih vrednosti za kakovost (standardov). Kompleksna narava koncepta kakovosti narekuje sistemski, interdisciplinarni oziroma transdisciplinarnipristop ter kvantitativno in kvalitativno metodo znanstvenega dela v oblikovanju sistemov kakovosti in presoji kakovosti v zdravstvu. Pri vsaki presoji in vsakem modeliranju sistemov kakovosti v zdravstvu moramo upoštevati tudi vplive okolja na obravnavani sistem. |