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
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
107567Informations de copyright
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