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From Triple to Quadruple Aim: Care of the Patient Requires Care of the Provider
Thomas Bodenheimer , and colleagues
Background In light of the essential and underappreciated peril imposed by health care workforce burnout and dissatisfaction, this essay suggests adding the goal of improving the work life of health care clinicians and staff as a fourth element necessary to achieve the Triple Aim goal of enhancing patient experience, improving population health and reducing costs. Burnout is associated with lower patient satisfaction and reduced health outcomes, and may increase costs. The authors offer several practical steps health care organizations can take to address this proposed fourth aim.
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