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

Carolyn Steele Gray; Agnes Grudniewicz; Alana Armas; James Mold; Jennifer Im; Pauline Boeckxstaens

doi:10.5334/ijic.5520

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

International Journal of Integrated Care

Volume 20 (2020): Issue 4

By: Carolyn Steele Gray, Agnes Grudniewicz, Alana Armas, James Mold, Jennifer Im and Pauline Boeckxstaens

Open Access

|Nov 2020

Abstract

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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Articles in this issue

DOI: https://doi.org/10.5334/ijic.5520 | Journal eISSN: 1568-4156

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Language: English

Submitted on: Apr 14, 2020

Accepted on: Sep 8, 2020

Published on: Nov 4, 2020

Published by: Ubiquity Press

In partnership with: Paradigm Publishing Services

Publication frequency: 4 issues per year

Keywords:

people-driven care,

goal-oriented care,

integrated care,

people-centred goals,

case studies

© 2020 Carolyn Steele Gray, Agnes Grudniewicz, Alana Armas, James Mold, Jennifer Im, Pauline Boeckxstaens, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.

Volume 20 (2020): Issue 4