Objective: Definitions of shared decision-making (SDM) have largely neglected to consider goal setting as an explicit component. Applying SDM to people with multiple long-term conditions requires attention to goal setting. We propose an integrated model, which shows how goal setting, at 3 levels, can be integrated into the 3-talk SDM model.
Method: The model was developed by integrating 2 published models.
Results: An integrated, goal-based SDM model is proposed and applied to a patient with multiple, complex, long-term clinical conditions to illustrate the use of a visualization tool called a Goal Board. A Goal Board prioritizes collaborative goals and aligns goals with interventional options.
Conclusion: The model provides an approach to achieve person-centered decision-making by not only eliciting and prioritizing goals but also by aligning prioritized goals and interventions.
Practice Implications: Further research is required to evaluate the utility of the proposed model.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7705836 | PMC |
| http://dx.doi.org/10.1177/2374373519878604 | DOI Listing |
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