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Cited by 176Adolescent and Pediatric HealthcareHospital Admissions and OutcomesChild and Adolescent Health

The DOI matches its Crossref record; 13 of the 14 references it cites were found in a registry or an index.

Measuring the “Triple Aim” in Transition Care: A Systematic Review

Prior, Megan, McManus, Margaret, White, Patience, Davidson, Laurie·2014·PEDIATRICS
DOI 10.1542/peds.2014-1704
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Abstract

BACKGROUND AND OBJECTIVES: Without adequate support, adolescents transitioning from the pediatric to the adult health care system are at increased risk for poor health outcomes. Numerous interventions attempt to improve this transition, yet few comprehensively evaluate efficacy. To advance evaluation methods and ultimately the quality of transition services, it is necessary to understand the current state of health care transition measurement. This study examines and categorizes transition measures by using the "Triple Aim" framework of experience of care, population health, and cost of care. METHODS: Ovid Medline and the Cumulative Index to Nursing and Allied Health Literature were searched for articles published between 1995 and 2013. Two reviewers independently screened studies and included those that evaluated the impact of a health care transition intervention. Measures were subsequently classified according to population health, experience of care, and costs of care. RESULTS: Of the 2282 studies initially identified, 33 met inclusion criteria. Population health measures were used in 27 studies, with disease-specific measures collected most frequently. Fifteen studies measured cost, most often service utilization. Eight studies measured experience of care, with satisfaction assessed most commonly. Only 3 studies examined all 3 domains of the "Triple Aim." Transition interventions described in the gray literature were not reviewed. CONCLUSIONS: Transition programs are inconsistently evaluated in terms of their impact on population health, patient experience, and cost. To demonstrate improvement in the transition from pediatric to adult health care, a more robust and consistent set of measures is needed.

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Crossref · 10.1542/peds.2014-1704

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Citations

Cites

Research works printed but not linked: 3

  1. Peikes, 2012, Early Evidence on the Patient-Centered Medical Home
  2. US Department of Health and Human Services, 2011, Report to Congress: National Strategy for Quality Improvement in Health Care
  3. 2001, The Permanente Journal, 5, 12

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Metadata

Authors
Prior, M., McManus, M., White, P., & Davidson, L.
Affiliations
  • Georgetown University (US)
  • The National Alliance to Advance Adolescent Health, Washington, District of Columbia; and
ORCID
White, Patience
Venue
PEDIATRICS
Publisher
American Academy of Pediatrics (AAP)
Published
2014-12-01
Volume
134
Issue
6
Pages
e1648-e1661
ISSN
  • 0031-4005 (ISSN-L)
  • 1098-4275
DOI
10.1542/peds.2014-1704
OpenAlex
W1967405980
Cited by
176
References
14
Citations by year
2026: 6 · 2025: 8 · 2024: 9 · 2023: 16 · 2022: 20 · 2021: 11 · 2020: 17 · 2019: 16 · 2018: 22 · 2017: 21 · 2016: 16 · 2015: 14
FWCI
3.46
Type
journal article
Language
en
Open access
closed
Locations
  • PEDIATRICS (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Institute for Health Care Improvement
  • Agency for Healthcare Research and Quality
  • U.S. Public Health Service (U39MC25729)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Adolescent and Pediatric Healthcare
  • Health Sciences › Nursing › Leadership and Management › Hospital Admissions and Outcomes
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Child and Adolescent Health
Keywords
Triple Aim, care transitions, adolescents, outcome measurement, population health, patient experience, health care costs, service utilization, patient satisfaction, transition interventions
MeSH terms
Adolescent, Adult, Chronic Disease, Cross-Cultural Comparison, Health Resources, Health Services Research, Health Status Indicators, Humans, Quality of Health Care, Socioeconomic Factors, Health Care Costs, Patient Satisfaction, Patient-Centered Care, Young Adult, Quality Improvement, Transition to Adult Care

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