Triple aim12/22/2023 In this aspect, there is a reduction in the costs of care. In addition, healthcare is beginning to be measured by the results obtained, rather than by the quantity or volume of services provided. The main objective of the proposal is to promote health, thus preventing diseases and closely monitoring patients’ health.Ĭoncern for patient satisfaction in their care directly interferes with their adherence to treatment, which has the effect of improving their recovery. The three objectives of the strategy aim to balance the healthcare system: To improve the patient’s healthcare experience ( quality and satisfaction).Promote the health of populations (elderly, chronically ill, children, etc.).One of its creators was Donald Berwick, a renowned physician and always present in the development of the concepts and foundations of Patient Safety. The triple aim was developed in 2008 in the United States by the IHI – Institute for Healthcare Improvement. It is based on the pillars of quality improvement mentioned in Figure 1. It is a triple aim tool to identify social needs in healthcare systems and promote quality and safety while optimizing costs. An example is when a hospital is a reference in the treatment of a disease. LEGITIMACY: This is related to the respect and accountability of the organization to society. This is related to the accessibility of healthcare, the cost of treatment, the doctor-patient relationship and the comfort of treatment. Reducing the time of a treatment while reducing costs and maintaining or improving its effectiveness is an example of optimization.ĮQUITY: In healthcare, it means distributing care and benefits impartially to all patients.ĪCCEPTABILITY: It implies the adaptation of patients and their families to treatment. OPTIMIZATION: It is related to the cost-benefit relationship that fosters the culture of improvement, since it seeks to improve existing processes. For example: when there is an improvement for a patient due to a certain treatment used.ĮFFICIENCY: It means providing the most effective treatment at the lowest possible cost. In healthcare, for example, for treatments to be efficacious, ideal conditions are needed, such as better healthcare services and good equipment.ĮFFECTIVENESS: Effectiveness in health refers to the planning of what is to be done. And through them it is possible to bring about various changes in healthcare related to Patient Safety for the continuous improvement of this area.ĮFFICACY: This is when results are achieved. Healthcare was already defined in 1980 by the Lebanese physician Avedis Donabedian, who proposed seven pillars: efficacy, effectiveness, efficiency, optimization, acceptability, legitimacy and equity. It is necessary to update the concepts of hospital care that determined hospitals as the center of attention to define actions that prioritize patient safety, with the idea that it is better to have an empty bed in the hospital, that it is necessary to prevent diseases, reduce admissions and have fewer surgeries and examinations.Īctions that promote the improvement of the quality of life of societies that have hospitals as partners in these social movements. Their collaboration with patients has to be constant so that the patient is not hospitalized again. Hospitals must become proactive members of society. These are the principles of the Triple Aim. The lack of safety causes countless incidents throughout Brazil.Īctions capable of involving disease prevention, better care focused on patients who are already ill, always with cost reduction, are necessary. Patients do not receive the attention and care they deserve and need. The current healthcare system, in addition to failing to invest in disease prevention, lacks integration or teamwork, and is fragmented.
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