Total quality management (TQM) is regarded as a tool for improving the competitiveness not only for a manufacturing sector, but also for overall national economy. Especially, TQM is recently implemented in public sector such as goverrment, education, and health care. In this paper, the a, pp.icability of TQM to health care sector is examined. For this study, the movements of TQM implementation in health care sector in developed countries such as United States and Japan are reviewed through literature study. As the result of this study, the TQM model in health care is suggested and the characteristics of the model are explained, and finally several steps to implement TQM in health care are summarized.