Journal of general internal medicine
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The specific phrase "goals of care" (GOC) is pervasive in the discourse about serious illness care. Yet, the meaning of this phrase is ambiguous. We sought to characterize the use and meaning of the phrase GOC within the healthcare literature to improve communication among patients, families, clinicians, and researchers. ⋯ The use of the phrase "goals of care" within the healthcare literature is increasingly common. We identified a consensus, operational definition that can facilitate communication about serious illness among patients, families, and clinicians and provide a framework for researchers developing interventions to improve goal-concordant care.
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Randomized Controlled Trial
Short-Term VA Health Care Expenditures Following a Health Risk Assessment and Coaching Trial.
Short-term health care costs following completion of health risk assessments and coaching programs in the VA have not been assessed. ⋯ Compared to completing and receiving HRA results, working with health coaches to set actionable health behavior change goals following HRA completion did not reduce short-term health expenditures.