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Standards of Care II

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

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Goals of Care: a framework in evolution.

Benedict Tan^1,2

¹Department of General Medicine, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia.

Internal Medicine Journal

|April 9, 2026

Summary

The Goals of Care framework is widely used in Australia, but real-world challenges like limited evidence and medico-legal issues need addressing. This framework impacts advanced care planning and treatment limitations.

Keywords:

Goals of Care advanced care planning medical treatment order resuscitation order

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Area of Science:

Medical Ethics
Healthcare Policy
Clinical Practice

Background:

The Goals of Care framework is widely adopted in Australian healthcare institutions.
It has increased awareness of advanced care planning and treatment limitations.

Purpose of the Study:

To discuss real-world challenges associated with the Goals of Care framework.
To highlight concerns regarding its implementation and effectiveness.

Main Methods:

Discussion of documented challenges.
Analysis of existing literature and clinical experiences.

Main Results:

Limited empirical evidence supports the framework's efficacy.
Significant medico-legal uncertainties and potential pitfalls exist.
Concerns remain regarding practical application and patient outcomes.

Conclusions:

While Goals of Care is advocated, its widespread adoption faces practical hurdles.
Further research is needed to address evidence gaps and legal ambiguities.
Careful consideration of potential pitfalls is essential for effective implementation.