Skip to main content

Main menu

  • Home
  • Content
    • Current Issue
    • Online First
    • Multimedia
    • Collections
    • Past Issues
    • Articles by Subject
    • Articles by Type
    • Supplements
    • The Issue in Brief (Plain Language Summaries)
    • Call for Papers
  • Info for
    • Authors
    • Reviewers
    • Media
    • Job Seekers
  • About
    • Annals of Family Medicine
    • Editorial Staff & Boards
    • Sponsoring Organizations
    • Copyrights & Permissions
    • Announcements
  • Engage
    • Engage
    • e-Letters (Comments)
    • Subscribe
    • RSS
    • Email Alerts
    • Journal Club
  • Contact
    • Feedback
    • Contact Us
  • Careers

User menu

  • My alerts

Search

  • Advanced search
Annals of Family Medicine
  • My alerts
Annals of Family Medicine

Advanced Search

  • Home
  • Content
    • Current Issue
    • Online First
    • Multimedia
    • Collections
    • Past Issues
    • Articles by Subject
    • Articles by Type
    • Supplements
    • The Issue in Brief (Plain Language Summaries)
    • Call for Papers
  • Info for
    • Authors
    • Reviewers
    • Media
    • Job Seekers
  • About
    • Annals of Family Medicine
    • Editorial Staff & Boards
    • Sponsoring Organizations
    • Copyrights & Permissions
    • Announcements
  • Engage
    • Engage
    • e-Letters (Comments)
    • Subscribe
    • RSS
    • Email Alerts
    • Journal Club
  • Contact
    • Feedback
    • Contact Us
  • Careers
  • Follow annalsfm on Twitter
  • Visit annalsfm on Facebook
DiscussionReflections

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

Thomas Bodenheimer and Christine Sinsky
The Annals of Family Medicine November 2014, 12 (6) 573-576; DOI: https://doi.org/10.1370/afm.1713
Thomas Bodenheimer
1Center for Excellence in Primary Care, Department of Family and Community Medicine, University of California San Francisco, San Francisco, California
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: TBodenheimer@fcm.ucsf.edu tbodie@earthlink.net
Christine Sinsky
2Medical Associates Clinic and Health Plan, Dubuque, Iowa
3American Medical Association, Chicago, Illinois
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
  • eLetters
  • PDF
Loading

Article Information

vol. 12 no. 6 573-576
DOI 
https://doi.org/10.1370/afm.1713
PubMed 
25384822

Published By 
The Annals of Family Medicine
Print ISSN 
1544-1709
Online ISSN 
1544-1717
History 
  • Received for publication May 10, 2014
  • Revision received August 15, 2014
  • Accepted for publication September 2, 2014
  • Published online November 10, 2014.

Copyright & Usage 
© 2014 Annals of Family Medicine, Inc.

Author Information

  1. Thomas Bodenheimer, MD1⇑ and
  2. Christine Sinsky, MD2,3
  1. 1Center for Excellence in Primary Care, Department of Family and Community Medicine, University of California San Francisco, San Francisco, California
  2. 2Medical Associates Clinic and Health Plan, Dubuque, Iowa
  3. 3American Medical Association, Chicago, Illinois
  1. CORRESPONDING AUTHOR: Thomas Bodenheimer, MD, Center for Excellence in Primary Care, Department of Family and Community Medicine, University of California at San Francisco, Bldg 80-83, SF General Hospital, 995 Potrero Ave. San Francisco, CA 94110, TBodenheimer{at}fcm.ucsf.edu or tbodie{at}earthlink.net

Statistics from Altmetric.com

Article usage

Article usage: November 2014 to February 2023

AbstractFullPdf
Nov 201417604167944
Dec 20148532824624
Jan 20156803689544
Feb 20156432585423
Mar 20157641941485
Apr 20155951400425
May 20156631412359
Jun 20157521621476
Jul 20156081191394
Aug 2015412903319
Sep 20154911015395
Oct 20155521103298
Nov 20154191032285
Dec 2015525832449
Jan 20166121488435
Feb 20163552206549
Mar 20165722321579
Apr 20164692093641
May 20165261846397
Jun 20164971967434
Jul 20166791757529
Aug 20164841703529
Sep 20169612083773
Oct 20167712852592
Nov 201611152572532
Dec 20167002612502
Jan 20176583308873
Feb 20177843479747
Mar 201771140961022
Apr 20176943883812
May 20179013587830
Jun 20175743147764
Jul 20176992812736
Aug 20178823666851
Sep 20179304510918
Oct 2017105947101162
Nov 2017106753371733
Dec 20177865131803
Jan 201886649241252
Feb 201886848901047
Mar 201894850361062
Apr 201878858041054
May 201885154691087
Jun 20186746133906
Jul 201888576391038
Aug 20187067865844
Sep 20187779502999
Oct 2018109899501031
Nov 2018105580601170
Dec 20189236811817
Jan 20196247757843
Feb 20199757429760
Mar 20196927800931
Apr 201975174801000
May 20196827814997
Jun 20196377328811
Jul 20199717491796
Aug 20198188960758
Sep 201981663511014
Oct 20198525365859
Nov 201976248141051
Dec 20195576130743
Jan 20206365420627
Feb 20207225082649
Mar 20206305248604
Apr 20206782681469
May 20202543020556
Jun 20201962987431
Jul 20202813228286
Aug 20203343581385
Sep 20207898235668
Oct 20202585511548
Nov 20202044928429
Dec 20202184986405
Jan 20212395336486
Feb 20212055765555
Mar 20213285771574
Apr 20212454668558
May 20211894464547
Jun 20212363535572
Jul 202115751301166
Aug 202119444421883
Sep 20213765270876
Oct 20212025231851
Nov 20212134081663
Dec 20211913805470
Jan 20221535159655
Feb 20222463838644
Mar 20222344193688
Apr 20222163703559
May 20222044916634
Jun 20222325184571
Jul 20222173915527
Aug 20221654188537
Sep 20223225110753
Oct 20222203595698
Nov 20222153112689
Dec 20221523857358
Jan 20231673979580
Feb 20231513137518

Cited By...

  • 1534 Citations
  • Google Scholar
PreviousNext
Back to top

In this issue

The Annals of Family Medicine: 12 (6)
The Annals of Family Medicine: 12 (6)
Vol. 12, Issue 6
November/December 2014
  • Table of Contents
  • Index by author
  • Back Matter (PDF)
  • Front Matter (PDF)
  • The Issue in Brief
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on Annals of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
From Triple to Quadruple Aim: Care of the Patient Requires Care of the Provider
(Your Name) has sent you a message from Annals of Family Medicine
(Your Name) thought you would like to see the Annals of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
1 + 19 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
From Triple to Quadruple Aim: Care of the Patient Requires Care of the Provider
Thomas Bodenheimer, Christine Sinsky
The Annals of Family Medicine Nov 2014, 12 (6) 573-576; DOI: 10.1370/afm.1713

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Get Permissions
Share
From Triple to Quadruple Aim: Care of the Patient Requires Care of the Provider
Thomas Bodenheimer, Christine Sinsky
The Annals of Family Medicine Nov 2014, 12 (6) 573-576; DOI: 10.1370/afm.1713
Reddit logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • INTRODUCTION
    • RISING EXPECTATIONS OF PHYSICIANS AND PRACTICES
    • PHYSICIAN BURNOUT
    • STAFF BURNOUT
    • CARE TEAM WELL-BEING AS A PREREQUISITE FOR THE TRIPLE AIM
    • ADDRESSING THE FOURTH AIM
    • CONCLUSION
    • Footnotes
    • REFERENCES
  • Figures & Data
  • Info & Metrics
  • eLetters
  • PDF

Related Articles

  • PubMed
  • Google Scholar

Cited By...

  • The PUPPY Study - Protocol for a Longitudinal Mixed Methods Study Exploring Problems Coordinating and Accessing Primary Care for Attached and Unattached Patients Exacerbated During the COVID-19 Pandemic Year
  • Effect of Clozapine on Time Assigned to Restrictive Housing in a State Prison Population
  • Central versus Local Quality Efforts: The Need for Both
  • Primary Care 2.0: A Prospective Evaluation of a Novel Model of Advanced Team Care With Expanded Medical Assistant Support
  • Leadership for careful and kind care
  • Reporting standards, outcomes and costs of quality improvement studies in Ireland: a scoping review
  • Clinical leaders, the first step for emotionally intelligent leadership
  • Provider Impacts of Socioeconomic Risk Screening and Referral Programs: A Scoping Review
  • Artificial intelligence in healthcare: transforming the practice of medicine
  • Hospital leadership perspectives on the value of the 3 Wishes Project: a qualitative study
  • Development and validation of a patient-reported measure of compassion in healthcare: the Sinclair Compassion Questionnaire (SCQ)
  • Addressing maternal and child health equity through a community health worker home visiting intervention to reduce low birth weight: retrospective quasi-experimental study of the Arizona Health Start Programme
  • Continuity of care: A thing of the past?
  • Value improvement at the point of care: engaging and empowering front-line teams with a new quality improvement methodology
  • Loneliness, Burnout, and Other Types of Emotional Distress Among Family Medicine Physicians: Results From a National Survey
  • Voices of Nurses During the Covid-19 Pandemic: A Call to Action
  • Primary Care Clinician Burnout and Engagement Association With Clinical Quality and Patient Experience
  • Nurturing a culture of curiosity in family medicine and primary care: The Section of Researchers Blueprint 2 (2018-2023)
  • Why Critical Incident Stress Management Teams Matter in Primary Care
  • Direct Primary Care: Family Physician Perceptions of a Growing Model
  • How Comprehensive Medication Management Contributes to Foundational Elements of Primary Care
  • Towards a Quality Agenda for Family Medicine
  • Standardization vs Customization: Finding the Right Balance
  • Multicomponent interventions for enhancing primary care: a systematic review
  • Strengthening our discipline
  • Implementation and evaluation of a pilot Match-A-Nurse programme to provide home-based care in Singapore
  • Operationalizing Occupational Fatigue in Pharmacists: An Exploratory Factor Analysis
  • Diabetes Technology in Primary Care: The Future Is Here, Almost
  • Measuring Total Healthcare Utilization Among Intimate Partner Violence Survivors In Primary Care
  • Using patient feedback to drive quality improvement in hospitals: a qualitative study
  • The Report of the 2019-2020 Professional Affairs Standing Committee: Pharmacist Integration with Primary Care Practices
  • Synchronous neurology-primary care collaboration in a medical home
  • Comparing physician associates and foundation year two doctors-in-training undertaking emergency medicine consultations in England: a mixed-methods study of processes and outcomes
  • Mangomoments - preconditions and impact on patients and families, healthcare professionals and organisations: a multi-method study in Flemish hospitals
  • Evidence-Based Practice Competencies for RNs and APNs: How Are We Doing?
  • Evaluation of a learning collaborative to advance team-based care in Federally Qualified Health Centers
  • Processes and tools to improve teamwork and communication in surgical settings: a narrative review
  • Protocol for a mixed-method analysis of implementation of case management in primary care for frequent users of healthcare services with chronic diseases and complex care needs
  • Team Configurations, Efficiency, and Family Physician Burnout
  • Bringing value, balance and humanity to the emergency department: The Right Care Top 10 for emergency medicine
  • Unlocking medical leaderships potential: a multilevel virtuous circle?
  • Association of intrinsic and extrinsic motivating factors with physician burnout and job satisfaction: a nationwide cross-sectional survey in Taiwan
  • Community-clinic linkages: qualitative provider perspectives on partnering with community health representatives in Navajo Nation
  • A Canadian Rural Living Lab Hospital: Implementing solutions for improving rural emergency care
  • The Imperative of Addressing Clinician Well-Being
  • Principles of Financing the Medical Home for Children
  • Neurosciences, Rehabilitation and Vision Strategic Clinical Network: Improving how Albertans see, think and live
  • Mental well-being, job satisfaction and self-rated workability in general practitioners and hospitalisations for ambulatory care sensitive conditions among listed patients: a cohort study combining survey data on GPs and register data on patients
  • The Report of the 2018-2019 Professional Affairs Standing Committee: The Role of Educators in Pharmacy Practice Transformation
  • Development of a Dental School Strategic Plan to Inform Interprofessional Education
  • Caring for one another
  • Implementation of quality measures and patient-reported outcomes in an epilepsy clinic
  • Quality of patient, family, caregiver and public engagement in decision-making in healthcare systems: a scoping review protocol
  • Making Inroads in Addressing Population Health in Underserved Communities With Type 2 Diabetes
  • Optimising medication management for polymedicated home-dwelling older adults with multiple chronic conditions: a mixed-methods study protocol
  • Physician Well-being
  • CM-SHARE: Development, Integration, and Adoption of an Electronic Health Record-Linked Digital Health Solution to Support Care for Diabetes in Primary Care
  • Barriers and facilitators for implementation of electronic consultations (eConsult) to enhance access to specialist care: a scoping review
  • Healthcare professionals moral distress in adult palliative care: a systematic review
  • Staff and Clinician Work-Life Perceptions after Implementing Systems-Based Improvements to Opioid Management
  • HIGH-PERFORMING PRIMARY CARE RESIDENCY CLINICS: A COLLABORATION
  • Practice Transformation Under the University of Colorados Primary Care Redesign Model
  • A Longitudinal Study of Trends in Burnout During Primary Care Transformation
  • Facilitating Practice Transformation in Frontline Health Care
  • Burnout, resilience and moral injury: How the wicked problems of health care defy solutions, yet require innovative strategies in the modern era
  • Duration of second victim symptoms in the aftermath of a patient safety incident and association with the level of patient harm: a cross-sectional study in the Netherlands
  • Burnout and Career Satisfaction Among U.S. Cardiologists
  • Five-Year Outcomes of Behavioral Health Integration in Pediatric Primary Care
  • Primary Care Providers Believe That Comprehensive Medication Management Improves Their Work-Life
  • Developing the Network Pain Rehabilitation Limburg: a feasibility study protocol
  • Strategies to evaluate healthcare provider trainings in shared decision-making (SDM): a systematic review of evaluation studies
  • Five-Year Outcomes of Behavioral Health Integration in Pediatric Primary Care
  • Joy in Work and Reducing Nurse Burnout: From Triple Aim to Quadruple Aim
  • How do doctors experience the interactions among professional fulfilment, organisational factors and quality of patient care? A qualitative study in a Norwegian hospital
  • 'At the grass roots level its about sitting down and talking: exploring quality improvement through case studies with high-improving Aboriginal and Torres Strait Islander primary healthcare services
  • Developing the Health Care Workforce of the Future for North Carolina
  • Critical Care Nurse Work Environments 2018: Findings and Implications
  • Near-peer mentorship: a pilot programme to improve support for new doctors
  • Integrated Care in ESKD: Perspective of a Large Dialysis Organization
  • The Current Intervention Studies Based on Watson's Theory of Human Caring: A Systematic Review
  • Palliative medicine physicians: doomed to burn?
  • Using Situated Learning Theory to Build an Interactive Learning Environment to Foster Dental Students Professionalism: An Ignite Project
  • Using lean thinking to improve hypertension in a community health centre: a quality improvement report
  • Burnout and Health Care Workforce Turnover
  • Physician Burnout and Higher Clinic Capacity to Address Patients' Social Needs
  • Practice Capacity to Address Patients Social Needs and Physician Satisfaction and Perceived Quality of Care
  • Dental and Dental Hygiene Student Perceptions of Interprofessional Education
  • Google Scholar

More in this TOC Section

  • Do I Return to the Community That Traumatized Me?
  • The Joy and Grief of Knowing Your Patient
  • The Face of God Revealed
Show more Reflections

Similar Articles

Subjects

  • Other research types:
    • Health policy
    • Professional practice
  • Other topics:
    • Organizational / practice change
    • Mindfulness and reflection
    • Possible emerging topic

Keywords

  • primary health care
  • patient-centered care
  • health care workforce

Content

  • Current Issue
  • Past Issues
  • Past Issues in Brief
  • Multimedia
  • Articles by Type
  • Articles by Subject
  • Multimedia
  • Supplements
  • Online First
  • Calls for Papers

Info for

  • Authors
  • Reviewers
  • Media
  • Job Seekers

Engage

  • E-mail Alerts
  • e-Letters (Comments)
  • RSS
  • Journal Club
  • Submit a Manuscript
  • Subscribe
  • Family Medicine Careers

About

  • About Us
  • Editorial Board & Staff
  • Sponsoring Organizations
  • Copyrights & Permissions
  • Contact Us
  • eLetter/Comments Policy

© 2023 Annals of Family Medicine