摘要: The term “audit” is of Latin origin, and implied public examination fact. In an industrial context it refers to verification accounts assessment performance — cost effectiveness. Medical audit more difficult define because the diversity activities which represent health care, therefore means different things people. There are however certain common elements medical audit, may be defined as “the systematic factors affect delivery good care”. This activity has always been a normal part practice in form morbidity mortality meetings, consensus conferences, conduct research. However, definition raises questions should themselves subject research: what systems or standards needed, how can they derived? Who monitor results have access data? What we measure how? do mean by care? Does process itself improve Simplistic phrases such ‘value for money’ ignore fact that care complex structures, even when relationship between purchaser provider apparently clearly private practice.