Goal-Oriented Care

Charette, Susan L.; Garcia, Maristela B.; Reuben, David B.

doi:10.1016/b978-0-12-420123-1.00001-0

Cited by 3 publications

(5 citation statements)

References 52 publications

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“…As one approach to person-centred care, GOC requires the same transformation. While clinicians are trained to use their clinical expertise to make care decisions to solve health problems, to be effective in a GOC approach, "clinicians must set aside their personal preferences and interests and listen actively to identify those [preferences] of their patients" [21]. Moving from a model that focuses on problem-solving strategies and clinician-relevant objectives towards addressing patient priorities effectively operationalizes a person-centred care approach and enables the four key components of people-driven care: empowerment and engagement, co-production and co-design.…”

Section: Goal-oriented Carementioning

confidence: 99%

“…Finally, co-production and co-design of care plans can translate to co-design of service delivery models. Given that people, particularly those with complex health and social care needs, will have diverse goals [21,26,27], existing siloed health care delivery models are often insufficient to meet care needs [28]. By adopting GOC at the practice level, service delivery gaps can be revealed, offering guidance on how to structure models to better meet the needs of patients.…”

Section: Goal-oriented Carementioning

confidence: 99%

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Goal-Oriented Care: A Catalyst for Person-Centred System Integration

Gray

Grudniewicz

Armas

et al. 2020

International Journal of Integrated Care

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Introduction: Person-centred integrated care is often at odds with how current health care systems are structured, resulting in slower than expected uptake of the model worldwide. Adopting goal-oriented care, an approach which uses patient priorities, or goals, to drive what kinds of care are appropriate and how care is delivered, may offer a way to improve implementation. Description: This case report presents three international cases of community-based primary health care models in Ottawa (Canada), Vermont (USA) and Flanders (Belgium) that adopted goal-oriented care to stimulate clinical, professional, organizational and system integration. The Rainbow Model of Integrated Care is used to demonstrate how goal-oriented care drove integration at all levels. Discussion: The three cases demonstrate how goal-oriented care has the potential to catalyse integrated care. Exploration of these cases suggests that goal-oriented care can serve to activate formative and normative integration mechanisms; supporting processes that enable integrated care, while providing a framework for a shared philosophy of care. Lessons learned: By establishing a common vision and philosophy to drive shared processes, goal-oriented care can be a powerful tool to enable integrated care delivery. Offering plenty of opportunities for training in goal-oriented care within and across teams is essential to support this shift.

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Section: Goal-oriented Carementioning

confidence: 99%

Section: Goal-oriented Carementioning

confidence: 99%

Goal-Oriented Care: A Catalyst for Person-Centred System Integration

Gray

Grudniewicz

Armas

et al. 2020

International Journal of Integrated Care

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“…After refining the RES-e-CARE system as per recommendations from Phase Two, virtual RES-e-CARE cases will be prepared for review. The cases will be assigned a unique number (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20).…”

Section: Phase Threementioning

confidence: 99%

“…12 Persons with cognitive impairment are most exposed to risk when their care is fragmented by interacting with multiple specialists, as they are unable to ensure that their relevant information is provided consistently to each specialist. 13 Integrated assessment is likely to benefit people with cognitive impairment, perhaps more than any other group.…”

Section: Introductionmentioning

confidence: 99%

Development of a protocol for telehealth Residential Medication Management Reviews to enable collaboration of pharmacists and geriatricians

Freeman

Peel

Watts

et al. 2017

Pharmacy Practice and Res

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“…While GOC is gaining interest in research and policy as a potential catalyst for integrated care (Gray et al, 2020;Reuben and Tinetti, 2012;World Health Organization, 2018;Charette et al, 2015;Mold, 2017), it remains unclear how PHCPs in the field feel about GOC and whether they would be willing and able to implement and embedor normalize -GOC in their daily practice. Gaining insights in the perceptions of PHCPs about GOC is important to work toward successful implementation of this approach in the long term.…”

Section: Introductionmentioning

confidence: 99%

Exploring readiness for implementing goal-oriented care in primary care using normalization process theory

Huybrechts

Boeykens

Grudniewicz

et al. 2023

Prim Health Care Res Dev

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Aim: To use normalization process theory (NPT) to build a strategy for the implementation of goal-oriented care (GOC) in primary care in Flanders, Belgium. Background: GOC is a possible approach to more coordinated and integrated care and tailors care to patients’ personal life goals. The concept has gained interest among policy makers and researchers, but the main drivers for successful implementation are the primary healthcare professionals (PHCPs) who need to see added value of GOC in order to embed it into their daily practice. NPT, developed to understand the processes of implementing new ways of organizing care, offers a useful lens to understand adoption of GOC in primary care practice. Method: PHCPs (n = 131) who participated in a 2-hour community meeting on GOC were asked to complete the Normalization MeAsure Development survey. This 23-item survey is based on NPT and describes participants’ views about how an intervention would impact their work, their expectations about it, and whether it could become a routine part of their work. Findings: The NPT constructs coherence (sense-making work) and cognitive participation (relational work) showed positive tendency toward implementation of GOC. The participants had an initial understanding on GOC and there was much interest in supporting and start working with this approach. The other constructs collective action (operational work) and reflexive monitoring (appraisal work) will need further efforts to trigger implementation. A common ground is needed to integrate GOC as a common practice which can be achieved by intensive interprofessional collaboration.

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Goal-Oriented Care

Cited by 3 publications

References 52 publications

Goal-Oriented Care: A Catalyst for Person-Centred System Integration

Goal-Oriented Care: A Catalyst for Person-Centred System Integration

Development of a protocol for telehealth Residential Medication Management Reviews to enable collaboration of pharmacists and geriatricians

Exploring readiness for implementing goal-oriented care in primary care using normalization process theory

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