The Donabedian Model of Quality by Avedis Donabedian is used to target improvements in quality (Donabedian, 2005). Donabedian identified three domains: structure, process and outcomes as the model to improve quality (Shi & Singh, 2015). Structure is the base of the issue, and directly affects process. “Structure is the foundation of the quality of health care” (Shi & Singh, 2015, p.494). The stronger the structure, the better the process flows to the outcome.
The second domain, process is the action