According to 10th 5 years plan document the assessment of the quality of health care is often thought to be a value judgment but there are determinants and ingredients of quality, which can be measured. These include assessment of infrastructure and manpower, processes such as diagnosis and treatment or outcome such as case fatality, disability and patient satisfaction. Consistently the very Donabedian definition of healthcare quality (Tabish, 2005) emphasizes on maximizing patients’ welfare and the quality of health service can be assessed in its structural, process and outcome aspects (Donabedian, 1966). Neither public nor private healthcare providers should focus only on assessing the patients’ interest and patients’ benefit but they should
