Evidence map›Paper›PMID 18474969›Full record

ArticleHealth affairs (Project Hope)

The triple aim: care, health, and cost.

Donald M Berwick, Thomas W Nolan, John Whittington

2 registry-linked trialsAbstract read
PubMed Publisher
In one paragraph

Article in Health affairs (Project Hope). The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 1,622 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,622citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01343251 completednot on this map

Prospective Analysis of Hemodialysis Reliable Outflow (HeRO) Vascular Access Graft vs. Cuffed Catheter Access in Hemodialysis

TypeobservationalSponsorMerit Medical Systems, Inc.Ran2011 to 2013Enrolled33ConditionsEnd Stage Renal Disease (ESRD)
NCT03786315 completednot on this map

Exploring 'VOLITION' in Context - a Study to Inform the Implementation of a New Intervention

TypeobservationalSponsorUniversity of ExeterRan2021 to 2022Enrolled72ConditionsDecision Making, Aged, Multimorbidity, General Practice
3 · Its place in the literature

Who cites it

1,622 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
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  17. Care Provider Perceptions of Person-Centeredness in Geriatric Care.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
    Article
  18. Asthma and Multimorbidity Amongst Ethnic Minority Groups in High Income Countries.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2026
    Review
  19. Article
  20. Article

1,562 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Donald M BerwickInstitute for Healthcare Improvement (IHI) in Cambridge, Massachusetts, USA. dberwick1@ihi.org
Thomas W Nolan
John Whittington

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Improving the U.S. health care system requires simultaneous pursuit of three aims: improving the experience of care, improving the health of populations, and reducing per capita costs of health care. Preconditions for this include the enrollment of an identified population, a commitment to universality for its members, and the existence of an organization (an "integrator") that accepts responsibility for all three aims for that population. The integrator's role includes at least five components: partnership with individuals and families, redesign of primary care, population health management, financial management, and macro system integration.

Indexed as

Health PrioritiesDelivery of Health CareHealth Care CostsHealth Care ReformHumansPrimary Health CareQuality Assurance, Health CareUnited States

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.