![]() ![]() Yet physicians and other members of the health care workforce report widespread burnout and dissatisfaction. A strong curricular design with supports related to focusing on all aspects of the quadruple aim is an effective mechanism for enhancing care. The Triple Aimenhancing patient experience, improving population health, and reducing costsis widely accepted as a compass to optimize health system performance. Doctoral capstone projects can be an effective platform for illustrating occupational therapy’s distinct value by showing how occupational therapy services are unique and valuable in health care institutions. The postprofessional occupational therapy doctorate curriculum over 12 years has supported over 250 students in creating sustainable practice change projects in various work settings across the US. ![]() The purpose of this retrospective review is to share how the curricular design and doctoral capstone process from one postprofessional occupational therapy doctorate program have been designed to support students in recognizing occupational therapy’s distinct value in creating sustainable practice changes to move their respective health care systems forward. Interpersonal interventions patient–provider communication quadruple aim systematic review.The quadruple aim of health care focuses on enhancing health care systems through improving quality patient care, improving the health of populations, providing care in cost-efficient ways, and improving the experience of providing health care by decreasing provider and caregiver stress and burnout. Simple, low-demand patient-provider interpersonal interventions may have the potential to improve patient health and patient and provider experience, but there is limited evidence that these interventions influence cost-related outcomes. The Quadruple Aim adds a fourth policy implication, for example, addressing the needs of the healthcare provider. Interventions with lower demands on provider time and effort were often as effective as those with higher demands. The Triple Aim, created by The Institute for Healthcare Improvement, delineates policy implications for improving population health, the healthcare experience, and per capita cost. Among studies that measured time in the clinical encounter, intervention effects varied. Often meeting the quadruple aim, they are directed as a population intervention, working to improve patient experience, reducing costs of chronic medical. Roughly a quarter of studies evaluated cost, but the majority reported no significant differences between intervention and control groups. Enhanced interpersonal interactions improved provider well-being, burnout, stress, and confidence in communicating with difficult patients. Most studies measured impact on patient experience improvements in experience (e.g., satisfaction, patient-centeredness, reduced unmet needs) often corresponded with a positive impact on other patient health outcomes (e.g., quality of life, depression, adherence). ![]() The methodological quality of research was moderate to high for most included studies 67% of interventions targeted the provider. Seventy-three out of 21,835 studies met the design and outcome inclusion criteria. provider-patient dyad), and quadruple aim outcomes. We characterized evidence related to the objective of the intervention, type and duration of intervention training, target recipient (provider-only vs. Is Your Care Management on Track for 2020 SEE ALL ARTICLES. CMS Prioritizes Physician Burnout for 2020. Use them as your compass for satisfing health care measurements. This article proposes expanding the original Triple Aim (improving population health, enhancing the care experience, reducing costs) beyond the 'quadruple aim' (addressing clinician burnout) to a 'quintuple aim' that includes advancing health equity. Two abstractors independently extracted information about study design, methods, and quality. The four aspects of the quadruple aim are of utmost imprtance to modern medicine. ![]() Selected studies included randomized controlled trials and controlled observational studies that examined the association between patient-provider interpersonal interventions and at least one outcome measure of the quadruple aim. We sourced data from PubMed, EMBASE, and PsycInfo (January 1997-August 2017). The purpose of this review was to characterize the associations between patient-provider interpersonal interventions and the quadruple aim outcomes (population health, patient experience, cost, and provider experience). Human connection is at the heart of medical care, but questions remain as to the effectiveness of interpersonal interventions. ![]()
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