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Treatment goal setting for complex patients: protocol for a scoping review.
Agnes Grudniewicz1, Michelle Nelson2, Kerry Kuluski1
1Collaboratory for Research and Innovation, Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, Ontario, Canada Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
BMJ Open
|May 27, 2016
Summary
This study reviews literature on treatment goal setting for patients with complex health needs. It aims to identify research gaps and guide future development of definitions, measures, and recommendations for better care.
Area of Science:
- Health Services Research
- Gerontology
- Patient-Centered Care
Background:
- Growing aging population with multiple chronic conditions increases healthcare demands.
- Patients, caregivers, and healthcare providers (HCPs) face high treatment burden due to complex care needs and unclear guidelines.
- Understanding patient priorities and setting shared treatment goals can improve outcomes and experiences.
Purpose of the Study:
- To conduct a scoping review of literature on treatment goal setting for complex patients.
- To identify evidence gaps and areas for future research in this domain.
- To inform a research program for developing definitions, measures, and recommendations for treatment goal setting.
Main Methods:
- A comprehensive scoping review of peer-reviewed and grey literature.
- Literature search using a multidatabase strategy developed by librarians.
- Independent screening, abstraction, and charting of included studies by two reviewers.
Main Results:
- The review will synthesize findings on current practices and challenges in treatment goal setting for complex patients.
- Identified gaps will highlight areas needing further investigation.
- Results will inform the development of standardized approaches to goal setting.
Conclusions:
- This scoping review will provide a foundational understanding of treatment goal setting in complex care.
- Findings will guide the development of evidence-based recommendations for HCPs, patients, and caregivers.
- The study aims to enhance patient outcomes and experiences through improved goal-setting practices.
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