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The Triple Aim framework is an increasingly popular tool for designing and assessing quality improvements in the health care sector. We systematically reviewed the empirical evidence on the application of the Triple Aim framework within primary healthcare settings since its inception almost a decade ago. Results show that primary healthcare providers varied in their interpretation of the Triple Aim framework and generally struggled with a lack of guidance and an absence of composite sets of measures for performance assessment. Greater clarity around application of the Triple Aim framework in primary healthcare is needed, especially around the selection and implementation of purposeful measures from locally available data. This review highlights areas for improvement and makes recommendations intended to guide future applications of the Triple Aim in the context of primary healthcare.

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The stiffness and stress analysis of beech wood laminated straight and curved cantilever beam is performed in the paper. Analysis was conducted layer by layer on the laminated beams with different veneer compositions. Finite element analysis is carried out with a '2D linear elastic model' for orthotropic materials. Analytic stiffness and stress evaluation is carried out by a 'transformed cross section method'. The influence of the veneer fiber orientation, veneer position, and thickness on the mechanical properties of laminated wood and the possibilities of both used methods for design of different shape of laminated wood have been analyzed. The results revealed that the laminated wood beam is stiffer when the outside veneers have longitudinal orientation in span direction or the thickness of outside veneers with longitudinal orientation is greater and that longitudinally oriented veneers sustain larger stress than veneers with tangential orientation. The results obtained by both used methods confirm that it can be used to achieve behaviour analysis of laminated wood in rectangular form. Curved forms require more complex analysis, but the methods can be used to achieve approximate data. The numerical in-plane stress analysis that applied to curved beam is not capable to calculating radial (interlaminar) stress.

This paper analyses changes in the flexural strength and the modulus of elasticity on particleboard depending on the material used for particleboard coating. Three-layer 18 mm thick particleboard which is mainly used in the manufacture of furniture was coated with several different coating materials. The coating was done with beech veneer (1-3 layers), melamine foil and ultrapas. A number of tubes were also varnished (PU varnish) after they were coated with a single layer of veneer, after which the effect of varnishing on the flexural strength and the modulus of elasticity was analysed. It was concluded that coating and the properties of the coating material affect the flexural strength and the modulus of elasticity.