This growing repository holds WHO documents, scientific publications, implementation reports, toolkits, multimedia and other resources with information and insights about integrated people-centred health services. Share your resource by clicking “Add”.

July 5, 2017

What do we mean when we talk about the Triple Aim? A systematic review of evolving definitions and adaptations of the framework at the health system level

Region: Americas Scientific publication Empowering and engaging people and communities, Strengthening governance and accountability, Reorienting the model of care Source: Health Policy

Notwithstanding important contributions of the Triple Aim, uncristal enthusiasm regarding the implications of the framework may be leading to  inconsistent use, particularly when apploed at the health system level, which goes beyond he original positioning of the framework as a strategic organizing principle to guide improvement initiatives at the organizational or local community level. This article identified uses of the Triple Aim that extended beyond its original intention to focus on uses at the whole health system level, to assess convergence and divergence with the original definition. They also attempted to identify consistencies in the way the Triple Aim was adapted for different contexts and settings.