Which component is NOT part of Donabedian's framework for evaluating quality of care?

Donabedian's framework for evaluating quality of care is centered around three primary components: Structure, Process, and Outcomes.

The Structure refers to the physical and organizational aspects of care, including facilities, equipment, and provider qualifications. Process encompasses the methods and procedures used in delivering care, including interactions between providers and patients. Outcomes involve the results of care, including patient health status, satisfaction, and quality of life after treatment.

Cost, while an important aspect in the broader context of healthcare delivery and economics, is not included in Donabedian's original framework. This framework is specifically focused on the quality dimensions mentioned, without the inclusion of economic factors like cost, which can influence the accessibility and perceived quality of care but does not directly assess the intrinsic quality of care itself. Therefore, recognizing that cost does not fit into the three categories of Structure, Process, and Outcomes illustrates why it is the correct response in this context.