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Setting goals in chronic care

Shared decision making as self-management support by the family physician

Rechten: Alle rechten voorbehouden

Setting goals in chronic care

Shared decision making as self-management support by the family physician

Rechten: Alle rechten voorbehouden

Samenvatting

Introduction: Self-management is considered a potential answer to the increasing demand for family medicine by people suffering from a chronic condition or multi-morbidity. A key element of self-management is goal setting. Goal setting is often defined as a moment of agreement between a professional and a patient. In the self-management literature, however, goal setting is regarded as a circular process. Still, it is unclear how professionals working in family medicine can put it into practice. This background paper aims to contribute to the understanding of goal setting within self-management and to identify elements that need further
development for practical use.
Debate: Four questions for debate emerge in this article: (1) What are self-management goals? (2) What is necessary to accomplish the process of goal setting within self-management? (3) How can professionals decide on the degree of support needed for goal setting within self-management? (4) How can patients set their goals and how can they be supported?
Implications: Self-management goals can be set for different (life) domains. Using a holistic framework will help in creating an overview of patients’ goals that do not merely focus on medical issues. It is a challenge for professionals to coach their patients to think about and set their goals themselves. More insight in patients’ willingness and ability to set self-management goals is desirable. Moreover, as goal setting is a circular process, professionals need to be supported to go through this process with their patients.

Toon meer
OrganisatieZuyd Hogeschool
LectoraatLectoraat Autonomie en Participatie van Chronisch Zieken
Gepubliceerd inTAYLOR & FRANCIS LTD. European Journal of General Practice, Vol. 2015, Uitgave: 21 2, Pagina's: 138-144
Jaar2015
TypeArtikel
ISSN1381-4788
TaalEngels

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