Journal article: In all developed countries, taking quality into account in the regulation of health systems is at the heart of the concerns of public authorities. The quest for efficiency, as necessary as it may be, should not lead to downward adjustments in the quality of care. The prospect of using quality indicators in the remuneration of producers is making headway today, especially since the progress made in measuring quality makes it possible to have a wide range of indicators. In terms of measurement, the significant developments abroad are the combination of process and outcome indicators on the one hand, and on the other hand, the fast adoption of the patient perspective, both for assessing health outcomes and collecting information on patients’ experience of care quality. As for the explicit inclusion of quality in remuneration schemes, it is now effective, with more or less success, in several countries abroad. The purpose of this article is to take stock of recent developments abroad and in France, concerning the measurement of the quality of care and the prospects opened up by its use in terms of remuneration of care producers.