Given that this is a descriptive investigation, no quality of
care model was selected to guide the study. The researchers
while aware that Donabedian (1980) and Attree (1993) could
provide models for the investigation in particularly with
the interview questions, the researchers elected to allow
the Thailand experts to create their own structure for the
responses. The Donabedian (1980) model views quality in
three domains (process, structure, and outcomes) that are
essentially linear in nature. While the Attree (1993) model
emphasizes a systems approach in which quality occurs in the
context of micro, macro, and global variables and impacts
the process, structure, and outcomes of care. The investigators
did not want to bias the experts with a western quality of
care model that may or may not be appropriate for Thailand.
care.