ArticleAnnals of family medicine
From triple to quadruple aim: care of the patient requires care of the provider.
Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 8 registered trials, which are not on this map. Cited by 1,215 papers, 10 of them syntheses that pooled 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.
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.
Mindfulness Training to Improve Mental Health, Stress and Performance In Physicians
Enhanced Stress Resilience Training for Faculty Physicians
Enhanced Resilience Training to Improve Mental Health, Stress and Performance in Resident Physicians
Mindful Self-Compassion Training to Improve Retention, Job Satisfaction, and Attitudes Toward Dementia Among Long-Term Care Nursing Assistants
Achieving the Quadruple Aim by Reducing Burnout: A Randomized Trial of a Compassion Based Curriculum for Outpatient Teams
Telemedicine in Atrial Fibrillation: Randomized Clinical Trial in Primary Care
Diseño de Una intervención Para Dotar a Mandos Intermedios y Directivos de Instituciones Sanitarias Con Herramientas Para Incrementar la Resiliencia de Sus Equipos
Effectiveness of a Customized Digital Platform to Increase Coordination of Care and Uptake of Evidence-based Practices: a Protocol for a Stepped-wedge Cluster Randomized Trial in Quebec
Who cites it
1,215 citing papers in PubMed, 10 syntheses or guidelines pooled it.
- General practice workforce retention strategies: an umbrella review.BMC primary care · 2026Pooled it
- Resident Physicians' Work-Related Emotional Experiences: A Scoping Review of Qualitative Research.Journal of general internal medicine · 2026Pooled it
- The quintuple aim as a framework for health system performance: a systematic review of empirical applications.BMC health services research · 2026Pooled it
- Performance-based payment models and value-based health care: a semi-systematic review through theoretical lenses.Frontiers in health services · 2026Pooled it
- Type 2 Diabetes Remission: A Systematic Review and Meta-analysis of Nonsurgical Randomized Controlled Trials.Diabetes care · 2025Pooled it
- Federal Investment in Primary Care Transformation: A Systematic Review and Qualitative Analysis.JAMA health forum · 2025Pooled it
- Healthcare workers' sustainable employability in relation to quality of care: an umbrella review.BMJ open · 2025Pooled it
- General practitioners' experience about synchronous teleconsultation in primary care: a mixed-method systematic review.BMC primary care · 2025Pooled it
- Outcome metrics in recommended performance measurement tools for emergency department performance evaluation: a systematic review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Pooled it
- Digital Health Interventions to Prevent Type 2 Diabetes Mellitus: Systematic Review.Journal of medical Internet research · 2025Pooled it
- Social Support in Group Medical Visits for Chronic Pain in Primary Care.Annals of family medicine · 2026Trial
- Reducing Work-Related Screen-Time in Healthcare Workers During Leisure Time (REDUCE SCREEN) - A Randomized Controlled Trial.Journal of medical systems · 2026Trial
- Equity in Choosing Wisely and beyond: the effect of health literacy on healthcare decision-making and methods to support conversations about overuse.BMJ quality & safety · 2025Trial
- Population health management within the primary care context - scoping review.The European journal of general practice · 2026Article
- An evidence-informed framework for workforce well-being and burnout prevention in emergency medicine.Internal and emergency medicine · 2026Review
- Ontario family physician perspectives on whether and how to charge patients for uninsured services: Qualitative study.Canadian family physician Medecin de famille canadien · 2026Article
- Impacts of a Statewide Prescription Drug Monitoring Program-Healthcare Practitioner Perspectives.Pharmacology research & perspectives · 2026Article
- Implementing Advanced Comprehensive Diabetes Care Within the Veterans Affairs Learning Health System.Journal of general internal medicine · 2026Article
- Measurement of Spiritual Fitness Among Healthcare Professionals in Türkiye: Psychometric Properties of the Turkish Version of the SOCOM Spiritual Fitness Scale.Journal of religion and health · 2026Article
- Quality of Life and Job Satisfaction Among Nurses and Physicians in Greek Public Hospitals: Associations with Protocol-Based Work and Workplace Characteristics.Healthcare (Basel, Switzerland) · 2026Article
1,155 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The Triple Aim-enhancing patient experience, improving population health, and reducing costs-is widely accepted as a compass to optimize health system performance. Yet physicians and other members of the health care workforce report widespread burnout and dissatisfaction. Burnout is associated with lower patient satisfaction, reduced health outcomes, and it may increase costs. Burnout thus imperils the Triple Aim. This article recommends that the Triple Aim be expanded to a Quadruple Aim, adding the goal of improving the work life of health care providers, including clinicians and staff.
Indexed as
Identifiers
What OpenQuestion holds
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.