This journal provides immediate open access to its content on the principle that making research freely available to the public supports a greater global exchange of knowledge.Ĥ2 HEALTH SCIENCES > 4201 Allied health and rehabilitation science > 420199 Allied health and rehabilitation science not elsewhere classified 50%ģ9 EDUCATION > 3901 Curriculum and pedagogy > 390114 Vocational education and training curriculum and pedagogy 25%Ĥ2 HEALTH SCIENCES > 4203 Health services and systems > 420399 Health services and systems not elsewhere classified 25%Ģ0 HEALTH > 2002 Evaluation of health and support services > 200203 Health education and promotion 50%Ģ0 HEALTH > 2003 Provision of health and support services > 200301 Allied health therapies (excl. Student-led healthcare service Triple Aim population health patient experience cost of care evaluation quality improvement Further investigation is required to determine a suitable evaluation framework for student-led healthcare services. All 14 studies measured at least one or more of the Triple Aim dimensions.Ĭonclusions: There was little consistency across the evaluations of student-led healthcare services, limiting the extent to which the benefits of student-led healthcare services can be shown to be a valuable resource to the healthcare system. All 14 studies met the Triple Aim measurement principles of “a defined population”, “gather data over time” and “distinguish between measures”, while only eight of the 14 studies achieved “comparison data”. Results: Fourteen of 211 identified articles met the inclusion criteria. Critical appraisal was informed by Stiefel and Nolan’s (2012) IHI white paper A Guide to Measuring the “Triple Aim”, and each article was appraised against the Triple Aim measurement principles and dimensions of care. Methods: Electronic databases were searched for articles describing a student-led healthcare service and were screened for studies that evaluated the impact of a student-led healthcare service on patient outcomes. The Triple Aim is a conceptual framework offering a systematic approach to evaluating healthcare services that may be appropriate for evaluation of student-led services. As early as 2008, Berwick (President/CEO of the Institute for Healthcare Improvement) and co-authors introduced the Triple Aim Framework. The aim of this literature review was to understand how student-led healthcare services have been evaluated to date and to assess alignment of previous evaluations with the Triple Aim framework. 8 By understanding the Triple Aim and its desired outcomes, hospitals can design work processes to meet healthcare quality goals. 7 The purpose of the Triple Aim is to improve healthcare and healthcare delivery in the United States while controlling costs. Like all healthcare services, student-led healthcare services need to be evaluated to ensure they provide high quality, safe and cost-effective services. Berwick intends to implement the IHIs Triple Aim while at the CMS. Introduction: In student-led healthcare services, health students take responsibility for the management and delivery of health services as part of clinical training.
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