Aiming to investigate the program of the quality assurance program in the hospital, this study was carried out. This study gave basic informations for an effective quality of medical care as the result. Nine general hospitals which are located in a metropolitan areas in Korea were adopted as the study subject. The results are shown as follows : 1. With the range of 5~7 medical recorders in the hospital are serving. 2. In observing the frequency of quality assurance programs, five general hospitals implemented the program only once a year and other hospitals performed twice in two hospitals and three times in two hospitals respectively. 3. The reasons such ans ignorance about programs, suspicious attitude toward the result of the program, other infavorable circumstances implementing medical care system in Korea seemed to influence the unsatisfactory frequencies.