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Quality in health care is increasingly becoming a central health policy issue in both developed and developing countries health systems. Most current quality assurance methods are professional and management focused not patient's perspectives focused.The new trend in health care is making health system patient-centered care that responding to health consumers needs:Patient-centered care approach focues on assessing patient perspective and satisfaction on quality,and providing evidence to inform quality policy makers and health care providers about quality concers.Further,developing quality policy at policy level is necessary but not sufficient as assuring and imroving quality requiring filling the gap between quality policy level and implementation level.Thus,this book presents and suggests a framework on how to fill the this gap between quality policy development at policy level and implementing quality assurance system at facility level, using patient perceptions and satisfaction assessemnt tools for monitoring and assessing health care quality performance.