The application of triple aim framework in the context of primary healthcare: A systematic literature review

The Triple Aim framework is an increasingly popular tool for designing and assessing quality improve-ments in the health care sector. We systematically reviewed the empirical evidence on the applicationof the Triple Aim framework within primary healthcare settings since its inception almost a decade ago.Results show that primary healthcare providers varied in their interpretation of the Triple Aim frameworkand generally struggled with a lack of guidance and an absence of composite sets of measures for perfor-mance assessment. Greater clarity around application of the Triple Aim framework in primary healthcareis needed, especially around the selection and implementation of purposeful measures from locally avail-able data. This review highlights areas for improvement and makes recommendations intended to guidefuture applications of the Triple Aim in the context of primary healthcare.Griffith Business School, Department of International Business and Asian StudiesNo Full Tex