title: Examining Primary Healthcare Performance through a Triple Aim Lens.
abstract: This study sought to apply a Triple Aim framework to the measurement and evaluation of primary healthcare (PHC) team performance.
  
  
  
  Triple Aim components were populated with 10 dimensions derived from survey and health administrative data for 17 Family Health Teams (FHTs) in Ontario, Canada. Bivariate analyses and rankings of sites examined the relationships among dimensions and among Triple Aim components.
  
  
  
  Readily available measures to fully populate the Triple Aim framework were lacking in FHTs. Within sites, there was little consistency in performance across the Triple Aim components (health, patient experience and cost).
  
  
  
  More and better measures are needed that can be readily used to examine the Triple Aim performance in PHC teams. FHTs, in this study, are partially achieving Triple Aim goals; however, there was a lack of consistency in performance. It is essential to collect appropriate measures and attend to performance across all components of the Triple Aim.
authors.affiliation: Assistant Professor, Department of Family Medicine and the Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, ON.
authors.forename: Bridget L
authors.initials: BL
authors.lastname: Ryan
authors.affiliation: Professor, Department of Family Medicine, Schulich School of Medicine and Dentistry, School of Social Work, King's University College, Western University, London, ON.
authors.forename: Judith Belle
authors.initials: JB
authors.lastname: Brown
authors.affiliation: Senior Scientist, Institute for Clinical Evaluative Sciences, Centre for Research on Inner City Health at St. Michael's Hospital, Department of Family and Community Medicine, University of Toronto, Toronto, ON.
authors.forename: Richard H
authors.initials: RH
authors.lastname: Glazier
authors.affiliation: Professor Emeritus, Departments of Family Medicine and of Clinical Epidemiology and Biostatistics and the Centre for Health Economics and Policy Analysis, McMaster University, Hamilton, ON.
authors.forename: Brian
authors.initials: B
authors.lastname: Hutchison
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003363:Cost Control / Q000458:organization & administration; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017146:Models, Organizational; D009864:Ontario; D010348:Patient Care Team / Q000458:organization & administration / Q000592:standards*; D017060:Patient Satisfaction; D011320:Primary Health Care / Q000191:economics / Q000458:organization & administration / Q000592:standards*; D011785:Quality Assurance, Health Care / Q000379:methods*; D058996:Quality Improvement / Q000458:organization & administration; D011787:Quality of Health Care / Q000191:economics; D055815:Young Adult