From Triple to Quadruple Aim: Care of the Patient Requires Care of the Provider
From Triple to Quadruple Aim: Care of the Patient Requires Care of the Provider
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DOI：
10.1370/afm.1713
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发表时间：
2014-11-01
影响因子：
4.4
通讯作者：
Sinsky, Christine
中科院分区：
文献类型：
--
作者：
Bodenheimer, Thomas;Sinsky, Christine
三重目标--增强患者体验、改善人群健康和降低成本--被广泛接受为优化卫生系统绩效的指南针。然而，医生和其他医疗保健工作者报告说，普遍存在倦怠和不满。倦怠与患者满意度降低，健康结果减少有关，并且可能会增加成本。因此，倦怠会危及三重目标。本文建议将三重目标扩展为四重目标，增加改善医疗保健提供者（包括临床医生和工作人员）工作生活的目标。
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.