SUMMARY The aim of the work – to assess doctors’ and nurses’ attitude to quality improvement in primary level health care institutions. Objectives: 1. To access constant quality improvement implementation process in private and public institutions of primary level health institutions. 2. To analyze the attitude of medical workers to health services improvement in private and public primary level health institutions. 3. To assess the influence of social and demographic characteristics to services quality. 4. To present recommendations on services improvement in primary level health care institutions. Research methods. In October 2004 the survey of doctors and nurses of Jonava city public and private institutions was carried on. 161 questionnaires were handed to respondents. 102 (63,5 %) were filled. SPSS 11 version of statistic analyses packet was used to process the result analysis. Diagrams and tables were prepared using Microsoft Excel 2000 program. Results. 96,1% of respondents replied that quality management system is being implemented in their institution. Respondents evaluated quality indexes in private health care institutions better than in public institutions. Comparing doctors’ and nurses’ quality estimations no essential differences were observed. The difference was observed only in evaluation of statement “doctors personally contribute to quality improvement”. The average of nurses’ assessment is (2,23) better than doctors’ (2,89). About 44 % of doctors and... [to full text]