• Tyler H Haberle, Laura A Shinkunas, Zachary D Erekson, and Lauris C Kaldjian.
• Department of Internal Medicine, University of Iowa Carver College of Medicine, 500 Newton Road, Iowa City, IA 52242, USA.
• Am J Hosp Palliat Care. 2011 Aug 1;28(5):335-41.

AbstractOur 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.

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