[Clinical Practice Guidelines in complex situations : better prioritisation using the GOC approach].

Abstract

The application of clinical practice guidelines faces specific challenges in complex or multi-morbid situations. In these cases, the proposal is to shift the focus from disease-oriented care to patient's goal-oriented care, in which disease management becomes a means of supporting the achievement of the person's life goals. The GOC approach ("Goal Oriented Care") offers a method and tools for implementing this approach. The approach also implies a series of conditions for implementation. The GOC involves shared decision-making, with healthcare professionals translating the patient's personal goals into realistic professional objectives. It promotes better coordination of care, improves patient compliance and responds to various challenges in the current healthcare system. It complements other approaches that already exist in the practices. Concrete examples and current initiatives illustrate the application of this method.