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Original Investigation

Patient-Centered Measures of Goal Concordance in Geriatrics and Palliative Care

JAMA Network Open 10.1001/jamanetworkopen.2025.30370

September 04, 2025 at 11:00 AM EDT

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What are the characteristics of goal-concordance measurement frameworks currently used in patient- and/or caregiver-reported measures for serious illness, multimorbidity, and geriatric syndromes?This scoping review of 63 studies identified 67 measures, of which 44 were unique. Despite measure heterogeneity and preferential adoption of certain frameworks, 4 components of goal-concordance measurement were identified to create an overarching conceptual model for measuring goal concordance.The findings of this study can be used to guide future goal-concordance measure development in geriatrics and palliative care.

Corresponding Author: Isaac S. Chua, MD, MPH, Division of General Internal Medicine and Primary Care, Department of Medicine, Brigham and Women’s Hospital, 1620 Tremont St, Ste OBC-03-2HH, Boston, MA 02120 (ichua@bwh.harvard.edu).

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