A Transition from Disease-Centred to Goal-Directed Individualised Care of Patients with Multiple Morbidities: A Journey to Goal-Orientated Patient Healthcare

*Katarzyna Rygiel

Department of Environmental Medicine and Epidemiology, Medical University of Silesia (SUM), Zabrze, Poland
*Correspondence to kasiaalpha@yahoo.co.uk

Disclosure: The author has declared no conflicts of interest.
Received: 04.06.17 Accepted: 23.11.17
Citation: EMJ Innov. 2018;2[1]:73-79.


Goal-orientated healthcare is multi-level strategic planning of medical care in which the patient’s goals are set first and, thereafter, their operationalisation is implemented into clinical practice. This is a novel approach to the management of patients with multiple morbidities. In this care model, the patients are treated as partners participating in a therapy process that is focussed on improving quality of life and health outcomes. This approach also facilitates the achievement of individually desired therapeutic targets by patients, their families, and/or their caregivers. The aim of this review is to present the concept of goal-orientated care based on current research from the medical literature and to describe some serious concerns related to the disease-centred model commonly used for patients with complex medical and/or mental conditions, such as the elderly. To illustrate the advantages and limitations of the goal-orientated patient care model, two exemplary cases of patients often seen in practice, such as primary care, cardiology, or geriatrics, are briefly described. The principles of goal-orientated patient care and available solutions to common problems should be useful to both the medical practitioners and their patients, in many contexts of multidisciplinary collaboration.

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