Building an understanding of goal-oriented care through the experiences of people living with chronic conditions.

Chronic Chronic care Conditions Goal-oriented care Patients' goals Person-centered care Primary care Qualitative research

Journal

Patient education and counseling
ISSN: 1873-5134
Titre abrégé: Patient Educ Couns
Pays: Ireland
ID NLM: 8406280

Informations de publication

Date de publication:
02 2023
Historique:
received: 01 09 2022
revised: 04 11 2022
accepted: 10 11 2022
pubmed: 16 11 2022
medline: 27 12 2022
entrez: 15 11 2022
Statut: ppublish

Résumé

To understand the concept of goal-oriented care (GOC) through the experiences of people with chronic conditions. Interviews with people living with chronic conditions (n = 50) were analyzed in two ways. A deductive approach based on GOC attributes generated in a concept analysis on GOC: goal-elicitation, goal-setting, goal-evaluation, patients' context, and patients' needs and preferences. An inductive approach based on a thematic analysis using descriptive phenomenology. The phase of goal-elicitation was recognized by the participants, whereas goal-setting and goal-evaluation were experienced to a lesser extent. Regarding the underpinning attributes, mixed feelings were reported concerning the integration of the patient's context and the presence of their needs and preferences throughout the care process. The inductive analysis revealed specific attention to informing patients about their condition and treatment options and discussing goals in interprofessional collaboration. Goal-elicitation was already present and seems to be a good foundation for GOC. More attention should be given to goal-setting and goal-evaluation. Developing guidance by means of a workflow, tools, or questions might support people with chronic conditions and providers to underpin the entire care process with patients' personal goals.

Identifiants

pubmed: 36379862
pii: S0738-3991(22)00834-5
doi: 10.1016/j.pec.2022.11.009
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Pagination

107567

Informations de copyright

Copyright © 2022 Elsevier B.V. All rights reserved.

Auteurs

Dagje Boeykens (D)

Department of Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Ghent University, C. Heymanslaan 10, 9000 Ghent, Belgium. Electronic address: Dagje.boeykens@ugent.be.

Lara Decoster (L)

Department of Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Ghent University, C. Heymanslaan 10, 9000 Ghent, Belgium. Electronic address: lara.decoster@ugent.be.

Dorine Lenoir (D)

Department of Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Ghent University, C. Heymanslaan 10, 9000 Ghent, Belgium. Electronic address: dorine.lenoir@ugent.be.

An De Sutter (A)

Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, C. Heymanslaan 10, 9000 Ghent, Belgium. Electronic address: an.desutter@ugent.be.

Reini Haverals (R)

Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, C. Heymanslaan 10, 9000 Ghent, Belgium. Electronic address: reini.haverals@ugent.be.

Lies Lahousse (L)

Department of Bioanalysis, Faculty of Pharmaceutical Sciences, Ghent University, Ottergemsesteenweg 460, 9000 Ghent, Belgium. Electronic address: lies.lahousse@ugent.be.

Peter Pype (P)

Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, C. Heymanslaan 10, 9000 Ghent, Belgium; End-of-Life Care Research Group, Faculty of Medicine and Health Sciences, VUB and Ghent University, C. Heymanslaan 10, 9000 Ghent, Belgium. Electronic address: peter.pype@ugent.be.

Dominique Van de Velde (D)

Department of Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Ghent University, C. Heymanslaan 10, 9000 Ghent, Belgium; Department of Occupational Therapy, Artevelde University of Applied Sciences, Voetweg 66, 9000 Ghent, Belgium. Electronic address: dominique.vandevelde@ugent.be.

Pauline Boeckxstaens (P)

Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, C. Heymanslaan 10, 9000 Ghent, Belgium. Electronic address: Pauline.boeckxstaens@ugent.be.

Patricia De Vriendt (P)

Department of Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Ghent University, C. Heymanslaan 10, 9000 Ghent, Belgium; Department of Occupational Therapy, Artevelde University of Applied Sciences, Voetweg 66, 9000 Ghent, Belgium; Frailty in Ageing (FRIA) Research Group, Department of Gerontology and Mental Health and Wellbeing (MENT) Research Group, Faculty of Medicine and Pharmacy, Vrije Universiteit, Laarbeeklaan 102, 1050 Brussels, Belgium. Electronic address: patricia.de.vriendt@vub.be.

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Classifications MeSH