![]() The framework encompasses reducing costs, improving population health and patient experience, with a new fourth domain: healthcare team well-being. In 2014, the Quadruple Aim-adapted from the widely-accepted Triple Aim -was suggested as a framework to optimize healthcare system performance. A larger-scale study over a longer time period is needed to confirm findings and examine feasibility and cost-effectiveness. These preliminary results support the feasibility of introducing substantial process changes that show promising improvement in both the Quadruple Aims and productivity. The intervention group offered 48% more patient slots than the average reference team. Compared to the reference team, the intervention team performed better in all Quadruple Aims and productivity measures. Clinic output data were retrieved for 467 visits. ![]() In total, 46 team surveys and 156 patient surveys were collected. Study outcomes were measured via provider/staff and patient surveys and administrative data. The five remaining providers and their teams comprised the reference group, who continued patient care as usual. One provider and their team implemented an efficiency-focused intervention that modified work roles and processes focused on utilizing all team members’ skills as allowable by applicable licensure restrictions. Participants were 25 employees and their patients in a primary care clinic. ![]() This quasi-experimental pilot study tested a 2 week intervention aimed to address the Quadruple Aims while improving productivity. Future research should develop and test causal models to better understand which domains of patient care are influenced by physician burnout.Healthcare is battling a conflict between the Quadruple Aims-reducing costs improving population health, patient experience, and team well-being-and productivity. Similarly, burnout was related to lower patient ratings of care, but when specific behaviors were rated there was no relationship.Īlthough the interest in burnout's effects is strong, the lack of rigorous empirical studies examining patient outcomes is problematic. Studies using self-reports of suboptimal quality and errors found that physicians higher in burnout consistently reported worse quality, yet studies linking burnout to independent clinical outcomes found no relationships. Five studies reported clinical measures (quality, errors), and 9 included patient ratings of their care. The majority of studies were cross-sectional and measured patient outcomes via physician perception self-reports (n=14). Studies needed to be empirical, measure physician burnout as a predictor, and include patient outcome measures. In total, 1201 articles were reviewed, and 28 were included in the final analysis. Systematic search of 3 databases using Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines. This study's aim was to investigate linkages between physician burnout and patient outcomes through a systematic review of the literature. Some have called for a fourth aim of improving the work environment for care providers.īurnout has been linked to poor outcomes in many occupational settings. Experts express concern that attaining of the Triple Aim of reducing health care costs, improving patient experiences and ultimately population health, may be compromised by high levels of burnout among physicians.
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