ArticleBMC family practice2019
Goal setting is insufficiently recognised as an essential part of shared decision-making in the complex care of older patients: a framework analysis.
Article in BMC family practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- Integrating patient values and preferences in healthcare: a systematic review of qualitative evidence.BMJ open · 2022Pooled it
- Understanding GPs' clinical reasoning processes involved in managing patients suffering from multimorbidity: A systematic review of qualitative and quantitative research.International journal of clinical practice · 2021Pooled it
- Associations between physicians' SDM behaviour and participation of older patients and family members in triadic decision-making: An observational study.PEC innovation · 2024Article
- Shared decision-making with patients with complex care needs: a scoping review.BMC primary care · 2024Article
- Effect of communication skills training on documentation of shared decision-making for patients with life-limiting illness: An observational study in an intensive care unit.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2023Article
- The role of older patients' goals in GP decision-making about medicines: a qualitative study.BMC family practice · 2021Article
- Multi-Morbidity and Polypharmacy in Older People: Challenges and Opportunities for Clinical Practice.Geriatrics (Basel, Switzerland) · 2020Review
- Goal-Based Shared Decision-Making: Developing an Integrated Model.Journal of patient experience · 2020Article
- The Challenges and Opportunities for Shared Decision Making Highlighted by COVID-19.The journal of allergy and clinical immunology. In practice · 2020Review
- The "unknown territory" of goal-setting: Negotiating a novel interactional activity within primary care doctor-patient consultations for patients with multiple chronic conditions.Social science & medicine (1982) · 2020Article
- Proposal for a Framework to Enable Elicitation of Preferences for Clients in Need of Long-Term Care.Patient preference and adherence · 2020Article
- Feasibility study of the Digital Patient Benefit Assessment Scale (P-BAS): A Digital Tool to Assess Individual Patient Goals.Gerontology & geriatric medicineArticle
- Healthcare Professionals' Perceptions about the Implementation of Shared Decision-Making in Primary Care: A Qualitative Study from a Virtual Community of Practice.International journal of integrated careArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMultimorbidity poses a challenge for decision-making processes and requires that more attention is paid to patient goals, preferences and needs; however, goal setting is not yet widely recognised as a core aspect of the shared decision-making (SDM) approach. This study aims to analyse clinician perceptions of the concept of goal setting within the context of SDM with older patients with multimorbidity.
methodsSemi-structured interviews with general practitioners (GPs) and clinical geriatricians (CGs) were analysed using a framework analysis. The integrative model of SDM was used to develop a categorisation matrix, including goal setting as an additional component.
resultsSixteen of the 33 clinicians mentioned explicit Goal setting as an integrated component of their definition of SDM, which was comparable to the number of clinicians who listed Patient values and preferences (n = 16), Doctor knowledge and recommendations (n = 19) and Make or explicitly defer a decision (n = 19), elements which are commonly considered to be important aspects of SDM. The other 17 clinicians (6 CGs and 11 GPs) did not mention Goal setting as an explicit component of SDM. Our analysis revealed two potential reasons for this observation. Besides the use of other terminology, part of clinicians viewed collaborative goal setting and SDM as separate but related processes.
conclusionsOur study on clinician perspectives highlighted goal setting as component of a SDM approach and could therefore be considered supportive of recent theoretical insights that SDM models that lack an explicit goal-setting component appear to be deficient and overlook an important aspect of engaging patients in decision-making, particularly for patients with complex multimorbidities. We therefore call for the further development of a comprehensive SDM approach for older patients with multimorbidity to include explicit and unequivocal goal setting elements to sufficiently meet the expectations and needs of clinicians and their patients.
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