Goal-Oriented Care: A Catalyst for Person-Centred System Integration.
| Autor: | Steele Gray C; Bridgepoint Collaboratory for Research and Innovation, Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, ON, CA.; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, CA., Grudniewicz A; Telfer School of Management, University of Ottawa, Ottawa, ON, CA., Armas A; Bridgepoint Collaboratory for Research and Innovation, Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, ON, CA., Mold J; Department of Family and Preventive Medicine, College of Medicine, University of Oklahoma, US., Im J; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, CA., Boeckxstaens P; Community Health Centre Botermarkt, Ledeberg, BE.; Department of Public Health and Primary Care, Ghent University, BE. |
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| Jazyk: | angličtina |
| Zdroj: | International journal of integrated care [Int J Integr Care] 2020 Nov 04; Vol. 20 (4), pp. 8. Date of Electronic Publication: 2020 Nov 04. |
| DOI: | 10.5334/ijic.5520 |
| Abstrakt: | 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. Competing Interests: The authors have no competing interests to declare. (Copyright: © 2020 The Author(s).) |
| Databáze: | MEDLINE |
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