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The Need for Bold Thinking.

Mimi Lowi-Young1, Gwen DuBois-Wing2

  • 1Chief Executive Officer, Alzheimer Society of Canada, Toronto, ON.

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|March 25, 2016
PubMed
Summary

This commentary discusses the Triple Aim framework for healthcare innovation. While acknowledging its potential, it questions the feasibility of provincial adoption due to the current health system climate and readiness for change.

Area of Science:

  • Health Services Research
  • Health Policy Analysis
  • Healthcare Management

Background:

  • The Triple Aim framework offers a model for healthcare system improvement.
  • Provincial governments are suggested as ideal adaptors of Triple Aim innovation.
  • Current health system realities may impede widespread provincial adoption.

Purpose of the Study:

  • To comment on the aspirational goals of Triple Aim adoption by provincial governments.
  • To analyze the feasibility of Triple Aim implementation within the pan-Canadian healthcare system.
  • To explore alternative pathways for healthcare progress beyond provincial-wide systems.

Main Methods:

  • Critical analysis of policy recommendations.
  • Discussion of the potential and limitations of the Triple Aim framework.

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  • Examination of the role of a learning health system in driving improvements.

    • Main Results:

    • Agreement on the potential of the Triple Aim framework.
    • Argument that significant progress can occur outside of provincial-wide systems.
    • Identification of a learning health system as crucial for advancing healthcare goals.
    • Questions raised about the government's stewardship role and system readiness for change.

    Conclusions:

    • Provincial adoption of the Triple Aim faces significant challenges within the current healthcare climate.
    • A learning health system is essential for achieving Triple Aim and other system-wide improvements.
    • Bold thinking is necessary for transforming provincial health systems, despite implementation hurdles.