The Healthcare Triple Aim in the Recovery Era

Kerman, Nick; Kidd, Sean A.

doi:10.1007/s10488-019-00997-0

Cited by 5 publications

(3 citation statements)

References 33 publications

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“…Second, addressing social determinants of health such as housing stability, safety, health risk behaviors, income, and access to other basic resources may lead to higher quality of care and better patient experience, improved health outcomes, and lower healthcare costs (Andermann, 2018; Kerman & Kidd, 2019). The need for clinicians to intervene at the level of social determinants may vary by country, depending on the robustness of the social welfare state (Schön & Rosenberg, 2013).…”

Section: Discussionmentioning

confidence: 99%

Models of mental health recovery: An overview of systematic reviews and qualitative meta-syntheses.

Dell¹,

Long

Mancini

2021

Psychiatric Rehabilitation Journal

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Objective: This study systematically reviews the systematic review (SR) evidence on mental health recovery from the perspective of adults with mental illness. Methods: Web of Science, ProQuest Dissertations & Theses, CINAHL, PubMed, PsycINFO, Scopus, and the libraries of the Cochrane Collaboration, Campbell Collaboration, and Joanna Briggs Institute were searched to identify eligible SRs including qualitative primary research. Two reviewers independently conducted data extraction and quality assessment. Overlap of primary studies was calculated. A framework for recovery was generated using reflexive thematic analysis. Results: An ecological model of recovery that included elements of psychological well-being was generated from 25 studies bridging personal/clinical, individual/social, and process/outcome conceptualizations of recovery. The first theme was a definition of recovery as a transformation from a negative identity state marked by despair, brokenness, and helplessness to a positive state of psychological wellbeing. This transformation was contingent upon four additional themes that included: (a) social and environmental conditions supporting access to basic resources and safety; (b) development of a sense of autonomy and personal responsibility; (c) roles and relationships that facilitated the personal experience of belonging and meaning; and (d) enlightenment defined as acceptance of the illness as a part of oneself and insight into how to promote well-being. Conclusions and Implications for Practice: Professionals working in recovery-oriented systems must consider how the subjective self-representations of persons with mental illness and objective social relationships interact to impact recovery. We close by discussing interventions that may promote the personal and social conditions of recovery. Impact and ImplicationsEvidence from systematic reviews of persons with mental illness supports an ecological model of mental health recovery. Clinicians and peers serving persons with mental illness must assess how structural, interpersonal, and intrapersonal factors inhibit or amplify the subjective experience of recovery. Wellness and recovery-oriented services play an important role in supporting positive psychological growth.

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Section: Discussionmentioning

confidence: 99%

Models of mental health recovery: An overview of systematic reviews and qualitative meta-syntheses.

Dell¹,

Long

Mancini

2021

Psychiatric Rehabilitation Journal

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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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“…Several of these practices address social determinants of health such as housing stability, employment, safety, and access to basic resources as well as assist clients in developing the skills needed to live meaningfully in the community. Practices that address social determinants of health can improve health, increase care quality, and enhance client satisfaction while lowering healthcare costs (Andermann 2018;Kerman and Kidd 2020). Recovery-oriented approaches that meet these aims include supported employment (Kinoshita et al 2013) and housing-first programs (Tsemberis et al 2004) that can facilitate access to basic resources and lead to the development of meaning, purpose, and autonomy through employment, independent living, and recreational and volunteer pursuits.…”

Section: Recovery-oriented Practices That Promote Wellnessmentioning

confidence: 99%

Models of Change and Well-Being from Behavioral Health Disorders

Mancini

2020

Integrated Behavioral Health Practice

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The Healthcare Triple Aim in the Recovery Era

Cited by 5 publications

References 33 publications

Models of mental health recovery: An overview of systematic reviews and qualitative meta-syntheses.

Models of mental health recovery: An overview of systematic reviews and qualitative meta-syntheses.

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

Models of Change and Well-Being from Behavioral Health Disorders

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