From triple to quadruple aim: care of the patient requires care of the provider.

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Abstract

The Triple Aim-enhancing patient experience, improving population health, and reducing costs-is widely accepted as a compass to optimize health system performance. Yet physicians and other members of the health care workforce report widespread burnout and dissatisfaction. Burnout is associated with lower patient satisfaction, reduced health outcomes, and it may increase costs. Burnout thus imperils the Triple Aim. This article recommends that the Triple Aim be expanded to a Quadruple Aim, adding the goal of improving the work life of health care providers, including clinicians and staff.

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Author and article information

Journal

Journal ID (iso-abbrev): Ann Fam Med

Title: Annals of family medicine

ISSN (Electronic): 1544-1717

ISSN (Print): 1544-1709

Publication date (Electronic):

Volume: 12

Issue: 6

Affiliations

[1 ] Center for Excellence in Primary Care, Department of Family and Community Medicine, University of California San Francisco, San Francisco, California TBodenheimer@fcm.ucsf.edu tbodie@earthlink.net.

[2 ] Medical Associates Clinic and Health Plan, Dubuque, Iowa American Medical Association, Chicago, Illinois.

Article

Publisher Item ID: 12/6/573

DOI: 10.1370/afm.1713

PubMed ID: 25384822

SO-VID: f86dfbce-53f2-4fd7-a5d0-d41f081eff33

History

Keywords: health care workforce,patient-centered care,primary health care

Data availability:

Keywords: health care workforce, patient-centered care, primary health care

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