ABSTRACT
Introduction The U.S. health-care system is currently one of the most expensive in the world,1 with Americans spending more on health care as a percentage of national GDP than any other nation.2 At the same time, evidence suggests that the quality of health care that Americans receive is lower than that in many developed countries, with the United States ranking 31st in life expectancy.1 Policy makers and researchers have called for improving the value of U.S. health care through pursuing a set of goals known as the “Triple Aim.”1 The Triple Aim calls for simultaneously improving the patient care experience through greater, more equitable access to care, improving the quality of care provided to the overall population, and decreasing the costs of caring for specific population subgroups. The Triple Aim approach is well aligned with the key dimensions of health systems,
Contents Introduction .............................................................................................................................. 43 Access .........................................................................................................................................45
