Measuring Interprofessional Collaboration’s Impact on Healthcare Services Using the Quadruple Aim Framework: A Protocol Paper

Yang Yann Foo (), Xiaohui Xin, Jai Rao, Nigel C. K. Tan, Qianhui Cheng, Elaine Lum, Hwee Kuan Ong, Sok Mui Lim, Kirsty J. Freeman and Kevin Tan
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Yang Yann Foo: Department of Technology Enhanced Learning and Innovation, Duke-NUS Medical School, Singapore 169857, Singapore
Xiaohui Xin: Health Services Research Unit, Singapore General Hospital, Singapore 169608, Singapore
Jai Rao: Department of Neurosurgery, National Neuroscience Institute, Singapore 308433, Singapore
Nigel C. K. Tan: Duke-NUS Medical School, Singapore 169857, Singapore
Qianhui Cheng: Department of Neuroradiology, National Neuroscience Institute, Singapore 308433, Singapore
Elaine Lum: Health Services & Systems Research, Duke–NUS Medical School, Singapore 169857, Singapore
Hwee Kuan Ong: Department of Physiotherapy, Singapore General Hospital, Singapore 169608, Singapore
Sok Mui Lim: Singapore Institute of Technology, Singapore 138683, Singapore
Kirsty J. Freeman: Office of Education, Duke–NUS Medical School, Singapore 169857, Singapore
Kevin Tan: Duke-NUS Medical School, Singapore 169857, Singapore

IJERPH, 2023, vol. 20, issue 9, 1-10

Abstract: Despite decades of research on the impact of interprofessional collaboration (IPC), we still lack definitive proof that team-based care can lead to a tangible effect on healthcare outcomes. Without return on investment (ROI) evidence, healthcare leaders cannot justifiably throw their weight behind IPC, and the institutional push for healthcare manpower reforms crucial for facilitating IPC will remain variable and fragmentary. The lack of proof for the ROI of IPC is likely due to a lack of a unifying conceptual framework and the over-reliance on the single-method study design. To address the gaps, this paper describes a protocol which uses as a framework the Quadruple Aim which examines the ROI of IPC using four dimensions: patient outcomes, patient experience, provider well-being, and cost of care. A multimethod approach is proposed whereby patient outcomes are measured using quantitative methods, and patient experience and provider well-being are assessed using qualitative methods. Healthcare costs will be calculated using the time-driven activity-based costing methodology. The study is set in a Singapore-based national and regional center that takes care of patients with neurological issues.

Keywords: Interprofessional Collaboration (IPC); return on investment (ROI); Quadruple Aim; patient outcomes; patient experience; provider wellbeing; cost of care; multimethod approach; time-driven activity-based costing (TDABC) (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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