The History of Quality Metrics

  • Deeb N. SalemEmail author
  • Sucharita Kher
  • Danisha Charles
  • Karen M. Freund


In a humorous, satirical editorial, Dr. Joseph Alpert depicts Socrates conversing with Asculepo, a young medical student, regarding the elements of high-quality medicine. In their discussion, Asculepo states that he is confused about the elements of high-quality medicine that his professors called quality “metrics.” Socrates responds that it is “quite strange” that they want to teach you to practice high-quality medicine, but they evidently cannot agree on how to measure this thing called “quality.” During the past two decades, quality measures have evolved to play a crucial role in healthcare delivery; but in many ways, we are still not clear about what they should consist of.


Quality metrics Socrates Consumer Reports Healthcare Ratings 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Deeb N. Salem
    • 1
    Email author
  • Sucharita Kher
    • 2
  • Danisha Charles
    • 3
  • Karen M. Freund
    • 1
  1. 1.Department of MedicineTufts Medical Center, Tufts University School of MedicineBostonUSA
  2. 2.Department of Medicine, Division of Pulmonary, Critical Care & Sleep MedicineTufts Medical CenterBostonUSA
  3. 3.Tufts Medical CenterBostonUSA

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