What defines quality of life is radically different from what it was 30 or 40 years ago.

He objects just as much to government efforts to define quality.

This is not a problem if you define quality of life through macroeconomic indicators.

Deeper, cultural changes are needed, and total quality management - with its insistence that only the patient can define quality - is the way forward.

"But you don't have to be able to define quality to improve quality," he added.

Pirsig defines static quality as everything which can be defined.

The first problem is to define "quality" in a measurable way.

Remember when we defined quality earlier, we talked about fitness for purpose?

It can define only the quantity and quality of its journey.

Religious leaders admit that it is difficult to define quality in an area like ministry, let alone chart its shifts over the decades.