The objectives of care are to help the patient achieve functional independence and recovery of health as far as possible.
Clinical management of MBO requires a specific and individualized approach that is based on disease prognosis and the objectives of care.
This paper considers which patient attributes are likely to demand a unique approach to management; in terms of objectives of care, membership of the care team, and pattern of clinical appointments (e.g. frequency and duration of consultations).
Finally, the determination of clearly articulated goals and objectives of care may facilitate earlier transition to a completely palliative mode of care with the potential for improvements in comfort, dignity, and quality of life.
Intermediate care is aimed to facilitate transition from hospital to home when the objectives of care are not primarily medical: patients are discharged earlier, and hospital length of stay is decreased [ 1].
Mortality was high and not significantly reduced by the intervention, suggesting that many patients were reaching the end of their life, when the objectives of care focus on dignity and positive experience rather than survival and restoration of function.
Furthermore, also the perspective of patients and the general public as a whole should be included in future DCEs, since objectives of care relate to the general priorities that citizens hold for their health system.
The overwhelming focus on technical, clinical interventions amongst the indicators and tools identified suggests that either the objectives of the system/organisation are to provide technical intervention, or current quality indicators are failing to clarify consensus regarding the overall philosophy and objectives of care; key elements of the system are not yet being captured comprehensively.
Because of the inclusion of QoL aspects beyond health and the involvement of older adults in the development of the measures [ 3, 6, 7], it is likely that the ICECAP-O and ASCOT more adequately reflect the objectives of care services for older adults and the perspective of older adults than the EQ-5D [ 8].
The Supreme Court states that the act of designation will bind the Guardian's appointment, although its powers are not fixed but set by the tutelary judge in exercising its decision-making power for pursuing the objectives of "care" necessary to ensure the protection of the beneficiary.
