![]() ![]() Process (technical quality and patient experience) Structure (facility infrastructure, management, and staffing) ![]() Systematic assessments of quality of care conducted in Europe and the US in the early 2000s led to a new era of quality measurement and quality improvement in high-income countriesįollowing Donabedian’s theory, the framework proposes three dimensions of quality of care that need to be tracked and, ideally, linked: ![]() It is easier to track the number of children immunized than whether the cold chain worked seamlessly throughout the vaccine life cycle, or whether the children received the right combinations at the right ages with sufficient information communicated to their parents. Quality of care is important, however it is often harder to measure than quantity of care. People-centered – provides care that takes into account the preferences and aspirations of individual service users and the culture of their community. Timely – reduces delays in providing and receiving healthcare.Įfficient – delivers healthcare in a manner that maximizes resource use and avoids waste.Įquitable – delivers healthcare that does not differ in quality according to personal characteristics such as gender, race, ethnicity, geographical location, or socioeconomic status. Safe – minimizes risks and harm to service users, including avoiding preventable injuries and reducing medical errors.Įffective – provides services based on scientific knowledge and evidence-based guidelines. For this reason, it has been recognized that Triple Aim needs to be expanded to Quadruple Aim, adding the goal of improving the work life and wellbeing of healthcare providers, including clinicians and staff. Such a burden on health providers thus imperils the Triple Aim goals. Burnout is associated with lower patient satisfaction, reduced health outcomes, and potentially increased costs. Triple Aim has been an approach to optimizing health system performance and proposes that healthcare institutions simultaneously pursue three dimensions of performance: improving the health of populations, enhancing the patient experience of care, and reducing the per capita cost of healthcare.Įven though Triple Aim had been widely accepted as a roadmap to optimize health system performance, physicians and other members of the healthcare workforce report widespread burnout and dissatisfaction. People all recognize the importance of healthcare and the health system and the need for these to be responsive to changes and perform well. ![]()
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