Goal-setting in clinical medicine.
The process of setting goals for medical care in the context of chronic disease has received little attention in the medical literature, despite the importance of goal-setting in the achievement of desired outcomes.
Using qualitative research methods, this paper develops a theory of goal-setting in the care of patients with dementia.
The theory posits several propositions.
First, goals are generated from embedded values but are distinct from values.
Goals vary based on specific circumstances and alternatives whereas values are person-specific and relatively stable in the face of changing circumstances.
Second, goals are hierarchical in nature, with complex mappings between general and specific goals.
Third, there are a number of factors that modify the goal-setting process, by affecting the generation of goals from values or the translation of general goals to specific goals.
Modifying factors related to individuals include their degree of risk-taking, perceived self-efficacy, and acceptance of the disease.
Disease factors that modify the goal-setting process include the urgency and irreversibility of the medical condition.
Pertinent characteristics of the patient-family-clinician interaction include the level of participation, control, and trust among patients, family members, and clinicians.
The research suggests that the goal-setting process in clinical medicine is complex, and the potential for disagreements regarding goals substantial. (...)
Mots-clés Pascal : Démence, Homme, Evolution, Personnel sanitaire, Médecin, Relation médecin malade, Communication, Objectif, Modulation, Etats Unis, Amérique du Nord, Amérique, Epidémiologie, Méthodologie
Mots-clés Pascal anglais : Dementia, Human, Evolution, Health staff, Physician, Physician patient relation, Communication, Objective, Modulation, United States, North America, America, Epidemiology, Methodology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0392505
Code Inist : 002B18C13. Création : 22/03/2000.