Quality may appear to be a nebulous term. The U.S. Office of Technology Assessment has defined the quality of medical care as "evaluation of the performance of medical providers according to the degree to which the process of care increases the probability of outcomes desired by patients and reduces the probability of undesired outcomes, given the state of medical knowledge." The Institute of Medicine (IOM), in a report entitled, "Medicare: A Strategy for Quality Assurance,"stated that "quality of care is the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge," whereas Ovretveit (1992) simply states, "A quality health service/system gives patients what they want and need." All of these definitions may provide the best explanation of the concept of quality in health care. Each provides additional insight into quality, what we can expect from quality, and how quality can be perceived. Pharmacy service quality has been measured by assessing its structure, process, and outcomes.

This Book is about the Pharmacy Practice and counseling techniques in the community practice. Sometimes it is quiet difficult to cop the patient educational concern. In this Piece of work, I would like to express my gratitude and affection to the First Professional Pharmacy Student of Universiti Sains Malaysia (session 2010-2011), for their hardworking and creativity. This book belongs to them and their forthcoming juniors to learn for perfection.With this book, our aim is to create awareness among pharmacy profession to practice counseling and strategies to overcome difficult situation during patient interaction."We judge ourselves by what we feel capable of doing, while others judge us by what we have already done." - Henry Wadsworth Longfellow. I hope all of you will find your way of success in this life. Remember: "Excellence can only be achieved by those who dares to believe that they are superior than the circumstances." Syed Wasif Gillani

Patient In-Home Care Program is inspired by the increased incidence of adverse drug reporting or non-compliance factors related to patient-related behavior. Patient is willing to get treatment but the problem lies beyond the drug therapy, its somehow inside the attitudinal practice of the patient. With this problem and clinical practice we aim to fulfill the theory of "Self-doctor." Chronic or live long diseases like; Diabetes mellitus, Hypertension etc.. needs a continuous and consistent management procedure and thus impact on the economic status of patient. through this program we hope to reduce the patient cost and ensure the beneficial patient related therapeutic outcomes. In this book vital information regarding the patient behavioral modification to ensure therapeutic compliance, is given to use for the betterment of Human race.