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Quadruple aim for healthcare reform

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In 2008, Donald Berwick, M.D., and  some colleagues came up with the “Triple Aim” of healthcare reform: improving the individual experience of care; improving the health of populations and reducing the per-capita healthcare cost.

But, it is argued in this BMJ article, a fourth aim should be added: Strengthening the  engagement of the healthcare workforce by raising their sense of meaning and even “joy.”


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