title: Promoting Triple Value Healthcare in Countries with Universal Healthcare.
abstract: Verma and Bhatia (2016) have made an important case for Canada to embrace the Institute for Healthcare Improvement (IHI) Triple Aim. In England, the National Health Service (NHS) has certainly benefited from the Triple Aim, but a different approach has developed, reflecting the difference in health services between the United States and the UK. The principal difference is that the NHS, like all universal healthcare systems, has an explicit and legally required commitment to cover the needs of the whole population within a defined and finite budget. For this reason, we have been working to not only improve the quality and safety of services, learning greatly from IHI, but also maximize value for individuals and populations.
authors.affiliation: Director, Value Based Healthcare Programme, Department of Primary Care, University of Oxford, Oxford, UK.
authors.forename: Muir
authors.initials: M
authors.lastname: Gray
authors.affiliation: Research Lead, Value Based Healthcare Programme, Department of Primary Care, University of Oxford, Oxford, UK.
authors.forename: Anant
authors.initials: A
authors.lastname: Jani
mesh_terms: D002170:Canada; D003695:Delivery of Health Care; D006078:Government Programs; D006801:Humans; D057766:Policy; D014481:United States