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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
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  • For correspondence: TBodenheimer@fcm.ucsf.edu tbodie@earthlink.net
Christine Sinsky
2Medical Associates Clinic and Health Plan, Dubuque, Iowa
3American Medical Association, Chicago, Illinois
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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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The Annals of Family Medicine: 12 (6)
The Annals of Family Medicine: 12 (6)
Vol. 12, Issue 6
November/December 2014
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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

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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
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  • 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
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