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Goal setting is insufficiently recognised as an essential part of shared decision-making in the complex care of older patients: a framework analysis.


ABSTRACT:

Background

Multimorbidity 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.

Methods

Semi-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.

Results

Sixteen of the 33 clinicians mentioned explicit Goal setting as an integrated compone

SUBMITTER: Vermunt N 

PROVIDER: S-EPMC6555756 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature