Strategies of quality assurance in health services mean a new approach of primary medical assistance, focusing on the consumer. This can be achieved by the development of the integrated services of primary assistance within a group of medical practice that gathers more doctors with the sanitary and auxiliary medical staff.

Sometimes in hospitals quality is difficult to be measured, especially when it is about the carrying out of an individual or a team, at certain departments or therapeutic interventions as operations or complex treatments. The quality of the services offered by the hospital can be appreciated from the consumer’s point of view, by means of the following elements: staff, physical support of carrying out, hospital environment, and process of creation and delivery of service, the result of the treatment.

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