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Letters Quality in primary health care

Complexity: a simple approach to quality. Are we there yet?

BMJ 2009; 338 doi: (Published 06 May 2009) Cite this as: BMJ 2009;338:b1812
  1. Terry Kemple, general practitioner1
  1. 1Horfield Health Centre, Bristol BS7 9RR
  1. tk{at}

    “When I use a word, it means just what I choose it to mean—neither more nor less.” So Lewis Carroll’s Humpty Dumpty understood the words he used. Today’s word is “quality,” and Heath and colleagues’ specific vagueness of the “way forward” to measure quality in primary care suggests we won’t be able agree what we mean for many years.1

    “If you don’t know where you are going, any road …

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