From Triple to Quadruple Aim: Care of the Patient Requires Care of the Provider

被引：2143

作者：

Bodenheimer, Thomas ^{[1
]}

Sinsky, Christine ^{[2
,3
]}

机构：

[1] Univ Calif San Francisco, Dept Family & Community Med, Ctr Excellence Primary Care, San Francisco, CA 94110 USA

[2] Med Associates Clin & Hlth Plan, Dubuque, IA USA

[3] Amer Med Assoc, Chicago, IL 60610 USA

来源：

ANNALS OF FAMILY MEDICINE | 2014年 / 12卷 / 06期

关键词：

primary health care; patient-centered care; health care workforce; ELECTRONIC MEDICAL-RECORDS; HEALTH-CARE; PHYSICIANS; SATISFACTION; BURNOUT; HOME; RECEPTIONISTS; EFFICIENCY; OUTCOMES; CLINICS;

D O I：

10.1370/afm.1713

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

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.

引用

页码：573 / 576

页数：4

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