Care quality improvement in differences of sex development.

Collaborative efforts across Europe and the world aim to improve the care quality provided to individuals with differences of sex development (DSD). Quality management in healthcare ensures that patients receive evidence-based and consistently high-quality care. Healthcare quality is categorised into the three interrelated components: structure, process and outcome. Quality indicators serve as proxies to demonstrate whether good quality is achieved and can be used for benchmarking purposes. This article highlights how the categories of structure, process, and outcome quality can be applied to the care for individuals with DSD. We review the implementation of benchmarking to continually assess and improve the care for people with DSD at a national level and how DSD studies may inform benchmarking at an international level.