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

Dagje Boeykens (UGent) , Lara Decoster, Dorine Lenoir (UGent) , An De Sutter (UGent) , Reini Haverals (UGent) , Lies Lahousse (UGent) , Peter Pype (UGent) , Dominique Van de Velde (UGent) , Pauline Boeckxstaens (UGent) and Patricia De Vriendt (UGent)
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Abstract
Objective: To understand the concept of goal-oriented care (GOC) through the experiences of people with chronic conditions.Method: 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.Results: 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 re- ported 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.Conclusion: 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. Practice implications: 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.
Keywords
General Medicine, Qualitative research, Primary care, Conditions, Chronic, Chronic care, Patients? goals, Person-centered care, Goal-oriented care

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MLA
Boeykens, Dagje, et al. “Building an Understanding of Goal-Oriented Care through the Experiences of People Living with Chronic Conditions.” PATIENT EDUCATION AND COUNSELING, vol. 107, Elsevier BV, 2023, doi:10.1016/j.pec.2022.11.009.
APA
Boeykens, D., Decoster, L., Lenoir, D., De Sutter, A., Haverals, R., Lahousse, L., … De Vriendt, P. (2023). Building an understanding of goal-oriented care through the experiences of people living with chronic conditions. PATIENT EDUCATION AND COUNSELING, 107. https://doi.org/10.1016/j.pec.2022.11.009
Chicago author-date
Boeykens, Dagje, Lara Decoster, Dorine Lenoir, An De Sutter, Reini Haverals, Lies Lahousse, Peter Pype, Dominique Van de Velde, Pauline Boeckxstaens, and Patricia De Vriendt. 2023. “Building an Understanding of Goal-Oriented Care through the Experiences of People Living with Chronic Conditions.” PATIENT EDUCATION AND COUNSELING 107. https://doi.org/10.1016/j.pec.2022.11.009.
Chicago author-date (all authors)
Boeykens, Dagje, Lara Decoster, Dorine Lenoir, An De Sutter, Reini Haverals, Lies Lahousse, Peter Pype, Dominique Van de Velde, Pauline Boeckxstaens, and Patricia De Vriendt. 2023. “Building an Understanding of Goal-Oriented Care through the Experiences of People Living with Chronic Conditions.” PATIENT EDUCATION AND COUNSELING 107. doi:10.1016/j.pec.2022.11.009.
Vancouver
1.
Boeykens D, Decoster L, Lenoir D, De Sutter A, Haverals R, Lahousse L, et al. Building an understanding of goal-oriented care through the experiences of people living with chronic conditions. PATIENT EDUCATION AND COUNSELING. 2023;107.
IEEE
[1]
D. Boeykens et al., “Building an understanding of goal-oriented care through the experiences of people living with chronic conditions,” PATIENT EDUCATION AND COUNSELING, vol. 107, 2023.
@article{01GJZ6W8B0C7MA8CJQXMQMEFVD,
  abstract     = {{Objective: To understand the concept of goal-oriented care (GOC) through the experiences of people with chronic conditions.Method: 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.Results: 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 re- ported 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.Conclusion: 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. Practice implications: 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.}},
  articleno    = {{107567}},
  author       = {{Boeykens, Dagje and Decoster, Lara and Lenoir, Dorine and De Sutter, An and Haverals, Reini and Lahousse, Lies and Pype, Peter and Van de Velde, Dominique and Boeckxstaens, Pauline and De Vriendt, Patricia}},
  issn         = {{0738-3991}},
  journal      = {{PATIENT EDUCATION AND COUNSELING}},
  keywords     = {{General Medicine,Qualitative research,Primary care,Conditions,Chronic,Chronic care,Patients? goals,Person-centered care,Goal-oriented care}},
  language     = {{eng}},
  pages        = {{7}},
  publisher    = {{Elsevier BV}},
  title        = {{Building an understanding of goal-oriented care through the experiences of people living with chronic conditions}},
  url          = {{http://doi.org/10.1016/j.pec.2022.11.009}},
  volume       = {{107}},
  year         = {{2023}},
}

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