![]() Diverse initiatives can be evaluated within this framework in a consistent manner, which should lead to improvements in our understanding of current problems faced during the provision of acute care services. īased on the Triple Aim approach, we present a new methodological framework specifically designed to evaluate acute care initiatives. The experience of care professionals also plays an important role, and adds a fourth aspect, which increasingly often leads towards the ‘Quadruple Aim’ to be reached in healthcare reform initiatives. Triple Aim defines improvement of a healthcare system as the simultaneous pursuit of three linked aims: improving the individual experience of care, improving the health of populations, and reducing healthcare cost growth. The more comprehensive international population health value perspective has been summarised in the Triple Aim. There are several frameworks that focus on the integration of care services, but these do not exclusively emphasise acute care services. In this paper we develop a methodological framework to assess the impact of solutions to increase the efficacy of acute care services. Unfortunately, a general framework to assess the impact of interventions is lacking. Acute care services need to integrate in order to improve care. Overcrowding is caused by a combination of factors such as the growing influx of patients due to the ageing population combined with a shortage of healthcare personnel, the suboptimal use of acute care services as a high proportion of acute care service use is by patients with low-urgency problems, and the fragmentation of acute care services with an absence of system-wide coordination and planning. In the Dutch setting, acute care services involves many different organisations, including Emergency Departments (EDs), General Practice Cooperatives (GPCs), ambulance services, acute mental health services, and home care and nursing home organisations 4]. Acute care services are currently overstretched.
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