Goal-Oriented Healthcare

A Person-Centered Paradigm

Books

Mold JW. Achieving Your Personal Health Goals: A Patient’s Guide, (2017), Full Court Press) https://www.amazon.com/Achieving-Your-Personal-Health-Goals/dp/0692926232

Mold JW. Goal-Oriented Medical Care: Helping Patients Achieve their Personal Health Goals. (2020), Full Court Press, Chapel Hill, NC.  https://www.amazon.com/Goal-Oriented-Medical-Care-Patients-Personal/dp/1946989770/ref=sr_1_1?crid=3EB5ZEEA1HYSD&dib=eyJ2IjoiMSJ9.zO8XavbkDnYs4QJjt9yh8g.s2gabRC9vGQvIhhUROHiufBtcn5GdRVZgU3PMwqy5zs&dib_tag=se&keywords=helping+patients+achieve+their+personal+health+goals&qid=1752080194&s=books&sprefix=helping+patients+achieve+their+personal+health+goals%2Cstripbooks%2C103&sr=1-1

Key Articles

  1. Applegate, M., Scott, E., Taksler, G.B. et al. Project ACTIVE: a Randomized Controlled Trial of Personalized and Patient-Centered Preventive Care in an Urban Safety-Net Setting. J Gen Intern Med, 2021; 36, 606–613.  https://link.springer.com/article/10.1007/s11606-020-06359-z
  2. Bogerd MJL, Slottje P, Bont J, and Van Hout HPJ. Development of a person‑centred care approach for persons with chronic multimorbidity in general practice by means of participatory action research. BMC Primary Care, 2024; 25:114.  https://bmcprimcare.biomedcentral.com/articles/10.1186/s12875-024-02364-x
  3. Dolovich L, Oliver D, Lamarche L, Thabane L, Valaitis R, Agarwal G, Carr T, Foster G, Griffith L, Javadi D, Kastner M, Mangin D, Papaioannou A, Ploeg J, Raina P, Richardson J, Risdon C, Santaguida P, Straus S, Price D. Combining volunteers and primary care teamwork to support health goals and needs of older adults: a pragmatic randomized controlled trial. CMAJ. 2019 May 6;191(18):E491-E500.  https://www.cmaj.ca/content/191/18/E491.long
  4. Dorough A, Forlang D, Mold JW, Kshirsagar AV, DeWalt DA, and Flythe JE. A person-centered interdisciplinary plan-of-care program for dialysis: Implementation and preliminary testing. Kidney Med, 2021; 3(2): 193-205.  https://pubmed.ncbi.nlm.nih.gov/33851115/
  5. Eddy DM, Adler J, Patterson B, Lucas D, Smith KA, and MacDonald M. Individualized guidelines: The potential for increasing quality and reducing costs. Ann Intern Med, 2011; 154: 627-634. https://www.acpjournals.org/doi/10.7326/0003-4819-154-9-201105030-00008?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed
  6. Freytag J, Dindo L, Catic A, Johnson AL, Amspoker AB, Gravier A, Dawson DB, Tinetti ME, and Naik AD. Feasibility of clinicians aligning health care with patient priorities in geriatrics ambulatory care. J Amer Geriatr Soc, 2020; 68(9): 2112-2116.  https://agsjournals.onlinelibrary.wiley.com/doi/10.1111/jgs.16662
  7. Grudniewicz A, Gray CS, Boeckxstaens P, De Maeseneer J, Mold J. Operationalizing the Chronic Care Model with Goal-Oriented Care. Patient. 2023 Nov;16(6):569-578. https://link.springer.com/article/10.1007/s40271-023-00645-8
  8. Jennings LA, Karina D. Ramirez MPH, Ron D. Hays PhD, Neil S. Wenger MD, MPH, David B. Reuben MD. Personalized Goal Attainment in Dementia Care: Measuring What Persons with Dementia and Their Caregivers Want. J Am Geriatr Soc, 2018; 66:2120–2127. https://agsjournals.onlinelibrary.wiley.com/doi/abs/10.1111/jgs.15541
  9.  Jennings LA, Mold JW. Person-Centered, Goal-Oriented Care Helped My Patients Improve Their Quality of Life. J Amer Board of Family Med, 2024; 37 (3): 506-511 https://www.jabfm.org/content/how-person-centered-goal-oriented-care-can-help-patients-improve-their-quality-life
  10. Mold JW, Hamm R, Scheid D.  Evidence-based medicine meets goal-directed health care.  Family Medicine, 2003; 35(5):360-364. https://pubmed.ncbi.nlm.nih.gov/12772939/
  11. Mold JW, Hamm RM, and McCarthy LH. The law of diminishing returns in clinical medicine: How much risk reduction is enough?  J Amer Board Fam Med 2010; 23: 371-375. https://www.jabfm.org/content/23/3/371
  12. Mold JW, DeWalt DA, Duffy FD. Goal-Oriented Prevention: How to Fit a Square Peg into a Round Hole. J Amer Board Fam Med, 2023; 36: 333-338. https://www.jabfm.org/content/36/2/333
  13. Mold JW and Duffy FD. How patient-centered medical homes can bring meaning to health care: A call for person-centered care. Ann Fam Med, 2022; 20(4): 353-357. https://www.annfammed.org/content/20/4/353
  14. Mold JW. Failure of the problem-oriented medical paradigm and a person-centered alternative. Ann Fam Med 2022; 20:145-148. https://www.annfammed.org/content/annalsfm/20/2/145.full.pdf
  15. Mold JW. Goal-directed health care: Redefining health and health care in the era of value-based care. Cureus 2017; 9(2): e1043. http://www.cureus.com/articles/5935-goal-directed-health-care-redefining-health-and-health-care-in-the-era-of-value-based-care?utm_medium=email&utm_source=transaction
  16. Nagykaldi ZJ, Jordan M, Quitoriano J, Ciro CA, Mold JW. User-Centered Design and Usability Testing of an Innovative Health-Related Quality of Life Module. Applied Clinical Informatics, 2014; 5(4):958-970.https://www.thieme-connect.com/products/ejournals/pdf/10.4338/ACI-2014-08-RA-0067.pdf
  17. Purkaple BA, Nagykaldi ZJ, Allahyar A, Todd R, Mold JW. Physicians’ Response to Patients’   Quality-of-Life Goals. J Am Board Fam Med 2020; 33: 71–79. https://www.jabfm.org/content/jabfp/33/1/71.full.pdf
  18. Purkaple BA, Mold JW, and Chen S. Encouraging patient-centered care by including quality-of-life questions on pre-encounter forms. Ann Fam Med 2016; 14(3): 221-226. https://www.jabfm.org/content/33/1/71
  19. Rygiel K. A transition from disease-centred to goal-directed individualized care of patients with multiple morbidities: A journey to goal-orientated patient healthcare. EMJ Innov, 2018; 2(1): 73-79.  https://www.emjreviews.com/innovations/article/a-transition-from-disease-centred-to-goal-directed-individualised-care-of-patients-with-multiple-morbidities-a-journey-to-goal-orientated-patient-healthcare/
  20. Steele Gray C, Grudniewicz A, Armas A, Mold J, Im J, Boeckxstaens P. Goal-Oriented Care: A Catalyst for Person-Centred System Integration. International Journal of Integrated Care, 2020; 20(4): 8, 1–10.  https://ijic.org/articles/10.5334/ijic.5520
  21. Taksler GB, Mercer MB, Fagerlin A, and Rothberg MB. Assessing patient interest in individualized preventive care recommendations. MDM Policy and Practice, 2019; 4(1): 1-14. https://journals.sagepub.com/doi/full/10.1177/2381468319850803
  22. Taksler GB, Hu B, DeGrandis Jr F, Montori VM, Fagerlin A, Nagykaldi Z, and Rothberg MB. Effect of individualized preventive care recommendations vs usual care on patient interest and use of recommendations: A pilot randomized clinical trial. JAMA Network Open, 2021; 4(11): e2131455 https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2785668
  23. Tanenbaum SJ. What is patient-centered care? A typology od models and missions. Health Care Anal, 2015; 23: 272-287. https://pubmed.ncbi.nlm.nih.gov/23807735/
  24. Tinetti ME, Hashmi A, Ng H, Doyle M, Goto T, Esterson J, Naik AD, Dindo L, Li F. Patient priorities-aligned care for older adults with multiple conditions: A nonrandomized controlled trial. JAMA Network Open, 2024; 7(1): e2352666. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2814211
  25. Tinetti ME, Costello DM, Naik AD, Davenport C, Hernandez-Bigos K, Van Liew JR, Esterson J, and Dindo L. Outcome goals and health care preferences of older adults with multiple chronic conditions. JAMA Network Open, 2021; 4(3): e211271. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2814211
  26. Tinetti M, Naik AD, Dindo L, Costello DM, Esterson J, Geda M, Rosen J, Hernandez-Bigos K, Smith CD, Ouellet GM, Kang G, Lee Y, and Blaum C. Association of patient priorities-aligned decision-making with patient outcomes and ambulatory health care burden among older adults with multiple chronic conditions: A nonrandomized clinical trial. JAMA Intern Med, 2019; 179(12): 1688-1697. https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2752365
  27. Vanneste L, Heymans I, Belche J-L, Huybrechts I, Van De Velde D, De Vriendt P, Haverals R, Boeykens D, Anthierens S, and Boeckxstaens P. Implementation of goal-oriented care in Belgium: Experiences from 25 primary care organizations. International J Integrated Care, 2025; 25(2): 1-14.  https://biblio.ugent.be/publication/01JZJ5VWBN101QBWRG4K9H3PAS