title: Goals of care among hospitalized patients: a validation study.
abstract: Our objective was to validate 6 literature-derived goals of care by analyzing open-ended and closed-ended responses about goals of care from a previous study of hospitalized patients. Eight clinicians categorized patients' open-ended articulations of their goals of care using a literature-derived framework and then compared those categorizations to patients' own closed-ended selections of their most important goal of care. Clinicians successfully categorized patients' open-ended responses using the literature-derived framework 83.5% of the time, and their categorizations matched patients' closed-ended most important goal of care 87.8% of the time. Goals that did not fit within the literature-derived framework all pertained to the goal of understanding a patient's diagnosis or prognosis; this seventh potential goal can be added to the literature-derived framework of 6 goals of care.
authors.affiliation: Department of Internal Medicine, University of Iowa Carver College of Medicine, 500 Newton Road, Iowa City, IA 52242, USA.
authors.forename: Tyler H
authors.initials: TH
authors.lastname: Haberle
authors.forename: Laura A
authors.initials: LA
authors.lastname: Shinkunas
authors.forename: Zachary D
authors.initials: ZD
authors.lastname: Erekson
authors.forename: Lauris C
authors.initials: LC
authors.lastname: Kaldjian
mesh_terms: D001291:Attitude of Health Personnel; D003142:Communication; D006040:Goals; D006801:Humans; D007297:Inpatients / Q000706:statistics & numerical data*; D010166:Palliative Care / Q000458:organization & administration*; D010358:Patient Participation / Q000706:statistics & numerical data*; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D018802:Patient-Centered Care / Q000379:methods; D026684:Personal Autonomy; D010817:Physician-Patient Relations; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology