自1990年代起,新的医疗服务认证系统在许多国家中得到发展,而在其它地方,也有个别的健康机构向其它国家购买健康服务。这些机构在做决策时所使用的个别评估以及选择标准,越来越将焦点放在患者、安全性、临床绩效等议题上。因此这些评估机构不只吸引了健康机构的经理人,也吸引了社会大众与健康服务购买者。 Since the 1990s, new medical service certification systems have been developed in many countries. In other places, there are also individual health agencies that purchase health services from other countries. The individual assessments and selection criteria used by these institutions to make decisions increasingly focus on issues such as patient, safety, and clinical performance. Therefore, these assessment agencies not only attracted the managers of health institutions, but also attracted the public and health service buyers.