The application of triple aim framework in the context of primary healthcare: A systematic literature review

Obućina, Murčo; Harris, Neil; Fitzgerald, Anneke; Chai, Andreas; Radford, Katrina; Ross, Alyson; Carr, Lauren; Vecchio, Nerina

doi:10.1016/j.healthpol.2018.06.006

Cited by 37 publications

(22 citation statements)

References 24 publications

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“…For example, if costs decrease, patients’ health and HCP work satisfaction increase, but the quality of care experienced by patients remains unchanged, the intervention is of added value. It is essential that all Quadruple Aim goals be assessed and that a balanced conclusion for follow-up be drawn based on these outcomes [ 99 , 100 ]. For included interventions, HCP work satisfaction was found to be improved in the intervention groups, compared with care as usual and with baseline.…”

Section: Discussionmentioning

confidence: 99%

Interdisciplinary Care Networks in Rehabilitation Care for Patients with Chronic Musculoskeletal Pain: A Systematic Review

Lamper

Beckers

Kroese

et al. 2021

JCM

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This systematic review aims to identify what rehabilitation care networks, within primary care or between primary and other health care settings, have been described for patients with chronic musculoskeletal pain, and what their impact is on the Quadruple Aim outcomes (health; health care costs; quality of care experienced by patients; work satisfaction for health care professionals). Studies published between 1 January 1994 and 11 April 2019 were identified in PubMed, CINAHL, Web of Science, and PsycInfo. Forty-nine articles represented 34 interventions: 21 within primary care; 6 between primary and secondary/tertiary care; 1 in primary care and between primary and secondary/tertiary care; 2 between primary and social care; 2 between primary, secondary/tertiary, and social care; and 2 between primary and community care. Results on impact were presented in 19 randomized trials, 12 non-randomized studies, and seven qualitative studies. In conclusion, there is a wide variety of content, collaboration, and evaluation methods of interventions. It seems that patient-centered interdisciplinary interventions are more effective than usual care. Further initiatives should be performed for interdisciplinary interventions within and across health care settings and evaluated with mixed methods on all Quadruple Aim outcomes.

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Section: Discussionmentioning

confidence: 99%

Interdisciplinary Care Networks in Rehabilitation Care for Patients with Chronic Musculoskeletal Pain: A Systematic Review

Lamper

Beckers

Kroese

et al. 2021

JCM

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“…Improvements in health interventions are defined in terms of their efficacy and, less frequently, their efficiency [ 1 ]. Innovative health strategies such as the Triple Aim framework adopt a multifactorial approach to health intervention assessment, analyzing efficacy and cost (efficiency), while also incorporating patients’ perspectives.…”

Section: Introductionmentioning

confidence: 99%

Quality-of-Life Determinants in People with Diabetes Mellitus in Europe

Fuentes-Merlos

Orozco‐Beltrán

Rico

et al. 2021

IJERPH

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This study aims to analyze self-perceived health and lifestyles in the European Union Member States Iceland, Norway, and the United Kingdom, examining associations with diabetes prevalence; and to identify the demographic, economic and health variables associated with diabetes in this population. We performed a cross-sectional study of 312,172 people aged 15 years and over (150,656 men and 161,516 women), using data collected from the European Health Interview Survey (EHIS). The EHIS includes questions on the health status and health determinants of the adult population, as well as health care use and accessibility. To estimate the magnitudes of the associations with diabetes prevalence, we fitted multivariate logistic models. The EHIS data revealed a prevalence of diabetes in Europe of 6.5% (n = 17,029). Diabetes was associated with being physically inactive (OR 1.14; 95% CI 1.02–1.28), obese (OR 2.75; 95% CI 2.60–2.90), male (OR 1.46; 95% CI 1.40–1.53) and 65–74 years old (OR 3.47; 95% CI 3.09–3.89); and having long-standing health problems (OR 7.39; 95% CI, 6.85–7.97). These results were consistent in the bivariate and multivariate analyses, with an area under the receiver operating characteristic curve of 0.87 (95% CI 0.87–0.88). In a large European health survey, diabetes was clearly associated with a poorer perceived quality of life, physical inactivity, obesity, and other comorbidities, as well as non-modifiable factors such as older age and male sex.

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“…Berwick et al (5) argued for addressing these dimensions simultaneously to deliver the desired outcomes. Nevertheless, despite many reports of successful Triple Aim implementations, commonly used measures often differ and fail to capture all its domains (6)(7)(8).…”

Section: Highlightsmentioning

confidence: 99%

Meta-Decision in Healthcare

Ketbi

2021

Front. Public Health

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Meta-decision as a junction between evidence and its rightful implementation is suggested in this review as a structured framework applied in healthcare, valuable to clinicians and healthcare decision-makers. The process of meta-decision requires optimum measurements to provide data necessary for identifying and developing decision alternatives and explicitly reflect on its value and choose the optimum decision. The location of value in the meta-decision framework is core component. Of equal importance are prerequisites for decision-makers' abilities to make meta-decisions and focus on optimum team environments. As well as improving their decision-making process through reflection and learning.

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The application of triple aim framework in the context of primary healthcare: A systematic literature review

Cited by 37 publications

References 24 publications

Interdisciplinary Care Networks in Rehabilitation Care for Patients with Chronic Musculoskeletal Pain: A Systematic Review

Interdisciplinary Care Networks in Rehabilitation Care for Patients with Chronic Musculoskeletal Pain: A Systematic Review

Quality-of-Life Determinants in People with Diabetes Mellitus in Europe

Meta-Decision in Healthcare

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