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

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Listed:
  • Obucina, M.
  • Harris, N.
  • Fitzgerald, J.A.
  • Chai, A.
  • Radford, K.
  • Ross, A.
  • Carr, L.
  • Vecchio, N.

Abstract

The Triple Aim framework is an increasingly popular tool for designing and assessing quality improvements in the health care sector. We systematically reviewed the empirical evidence on the application of the Triple Aim framework within primary healthcare settings since its inception almost a decade ago. Results show that primary healthcare providers varied in their interpretation of the Triple Aim framework and generally struggled with a lack of guidance and an absence of composite sets of measures for performance assessment. Greater clarity around application of the Triple Aim framework in primary healthcare is needed, especially around the selection and implementation of purposeful measures from locally available data. This review highlights areas for improvement and makes recommendations intended to guide future applications of the Triple Aim in the context of primary healthcare.

Suggested Citation

  • Obucina, M. & Harris, N. & Fitzgerald, J.A. & Chai, A. & Radford, K. & Ross, A. & Carr, L. & Vecchio, N., 2018. "The application of triple aim framework in the context of primary healthcare: A systematic literature review," Health Policy, Elsevier, vol. 122(8), pages 900-907.
    • Handle: RePEc:eee:hepoli:v:122:y:2018:i:8:p:900-907
    DOI: 10.1016/j.healthpol.2018.06.006
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    References listed on IDEAS

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    1. Mery, Gustavo & Majumder, Shilpi & Brown, Adalsteinn & Dobrow, Mark J., 2017. "What do we mean when we talk about the Triple Aim? A systematic review of evolving definitions and adaptations of the framework at the health system level," Health Policy, Elsevier, vol. 121(6), pages 629-636.
    2. Kindig, D.A. & Stoddart, G., 2003. "What is population health?," American Journal of Public Health, American Public Health Association, vol. 93(3), pages 380-383.
    3. Alessandro Liberati & Douglas G Altman & Jennifer Tetzlaff & Cynthia Mulrow & Peter C Gøtzsche & John P A Ioannidis & Mike Clarke & P J Devereaux & Jos Kleijnen & David Moher, 2009. "The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-28, July.
    4. Hendrikx, Roy J.P. & Drewes, Hanneke W. & Spreeuwenberg, Marieke & Ruwaard, Dirk & Struijs, Jeroen N. & Baan, Caroline A., 2016. "Which Triple Aim related measures are being used to evaluate population management initiatives? An international comparative analysis," Health Policy, Elsevier, vol. 120(5), pages 471-485.
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    Cited by:

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    3. Willemine Willems, 2021. "Countering the Tragedy of the Health Care Commons by Exnovation: Bringing Unexpected Problems and Solutions into View," Sustainability, MDPI, vol. 13(23), pages 1-19, November.

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