”Metacommunication” is a fundamental vector, the element connecting the whole integration of individual and team efforts within the functional structures of the institution, aiming at a continuous improvement of quality and, implicitly, at assuring performant medical services, capable of fully satisfying each of the numerous patients diagnosed and really treated per unit of time. The ”management of total quality” is characteristic to ”the man of total quality” whichever the position and complexity of the attributes imposed by the position he occupies. The techniques, respectively the modalities of assuring the quality of communiction have continuously evolved, both at theoretical level and in the immediatt medical practice, still remaining a fundamental element. The ”quality of communication” at the level of the medical staff – patient, relation developed within the health system aims simultaneously at a gradual implementation, capable of efficiently integrating the performance of the therapeutical act through a full observance of the juridical and ethicalmoral rights, on the basis of a constructive dialogue. Consequently, the total management of quality is revealed not only at semantic level but mainly in medical practice, the main objective had in view being that of granting a real health condition of the patient by means of a most suitable, rational and strictly correct communication.Keywords:
- health system
- man of total quality
- management of ”total quality”
- quality of the therapeutical act
- satisfaction level.
- therapeutical flow