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Related Experiment Video

Updated: Mar 15, 2026

Exploring the Use of Isolated Expressions and Film Clips to Evaluate Emotion Recognition by People with Traumatic Brain Injury
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Secret quality of love.

Elaine Strachan-Hall

    Nursing Management (Harrow, London, England : 1994)
    |September 2, 2016
    PubMed
    Summary

    Avedis Donabedian's quality of care framework includes structure, process, and outcome. A lesser-known aspect is the "secret quality of love" in healthcare.

    Area of Science:

    • Healthcare Quality
    • Medical Ethics
    • Patient Experience

    Background:

    • The established Donabedian model defines healthcare quality through structure, process, and outcome.
    • A recent exploration introduces a novel dimension to Donabedian's work: the 'secret quality of love'.

    Purpose of the Study:

    • To introduce and explore the concept of the 'secret quality of love' as a dimension of healthcare quality.
    • To prompt reflection on the emotional and relational aspects of care beyond traditional metrics.

    Main Methods:

    • Conceptual analysis of Avedis Donabedian's work.
    • Introduction of a qualitative concept ('secret quality of love') into the established framework.

    Main Results:

    • The traditional Donabedian dimensions (structure, process, outcome) are well-recognized.

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  • A 'secret quality of love' is presented as an additional, often overlooked, aspect of care quality.
  • Conclusions:

    • Healthcare quality may encompass an unquantified 'quality of love'.
    • Further consideration of this dimension could enhance patient-centered care and provider well-being.