Goal-Oriented Care: A Catalyst for Person-Centred System Integration
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 approp...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Ubiquity Press
2020-11-01
|
| Series: | International Journal of Integrated Care |
| Subjects: | |
| Online Access: | https://www.ijic.org/articles/5520 |
| _version_ | 1818857623529717760 |
|---|---|
| author | Carolyn Steele Gray Agnes Grudniewicz Alana Armas James Mold Jennifer Im Pauline Boeckxstaens |
| author_facet | Carolyn Steele Gray Agnes Grudniewicz Alana Armas James Mold Jennifer Im Pauline Boeckxstaens |
| author_sort | Carolyn Steele Gray |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-19T08:43:20Z |
| format | Article |
| id | doaj.art-de9f6bcffa544deaa46951a2727f4840 |
| institution | Directory Open Access Journal |
| issn | 1568-4156 |
| language | English |
| last_indexed | 2024-12-19T08:43:20Z |
| publishDate | 2020-11-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj.art-de9f6bcffa544deaa46951a2727f48402022-12-21T20:28:53ZengUbiquity PressInternational Journal of Integrated Care1568-41562020-11-0120410.5334/ijic.55204862Goal-Oriented Care: A Catalyst for Person-Centred System IntegrationCarolyn Steele Gray0Agnes Grudniewicz1Alana Armas2James Mold3Jennifer Im4Pauline Boeckxstaens5Bridgepoint Collaboratory for Research and Innovation, Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, ON; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ONTelfer School of Management, University of Ottawa, Ottawa, ONBridgepoint Collaboratory for Research and Innovation, Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, ONDepartment of Family and Preventive Medicine, College of Medicine, University of OklahomaInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ONCommunity Health Centre Botermarkt, Ledeberg; Department of Public Health and Primary Care, Ghent UniversityIntroduction: 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.https://www.ijic.org/articles/5520people-driven caregoal-oriented careintegrated carepeople-centred goalscase studies |
| spellingShingle | Carolyn Steele Gray Agnes Grudniewicz Alana Armas James Mold Jennifer Im Pauline Boeckxstaens Goal-Oriented Care: A Catalyst for Person-Centred System Integration International Journal of Integrated Care people-driven care goal-oriented care integrated care people-centred goals case studies |
| title | Goal-Oriented Care: A Catalyst for Person-Centred System Integration |
| title_full | Goal-Oriented Care: A Catalyst for Person-Centred System Integration |
| title_fullStr | Goal-Oriented Care: A Catalyst for Person-Centred System Integration |
| title_full_unstemmed | Goal-Oriented Care: A Catalyst for Person-Centred System Integration |
| title_short | Goal-Oriented Care: A Catalyst for Person-Centred System Integration |
| title_sort | goal oriented care a catalyst for person centred system integration |
| topic | people-driven care goal-oriented care integrated care people-centred goals case studies |
| url | https://www.ijic.org/articles/5520 |
| work_keys_str_mv | AT carolynsteelegray goalorientedcareacatalystforpersoncentredsystemintegration AT agnesgrudniewicz goalorientedcareacatalystforpersoncentredsystemintegration AT alanaarmas goalorientedcareacatalystforpersoncentredsystemintegration AT jamesmold goalorientedcareacatalystforpersoncentredsystemintegration AT jenniferim goalorientedcareacatalystforpersoncentredsystemintegration AT paulineboeckxstaens goalorientedcareacatalystforpersoncentredsystemintegration |