Abstract：
When the goal is to help patients improve their quality of life, it makes sense to focus directly on the activities and relationships that are most important to each patient. This can be accomplished most effectively by following a three-step process that includes 1) connecting with the patient around what matters to them, 2) co-creating a goal-oriented plan, and 3) collaborating with patient, family, team members, and consultants to increase the probability of success. Once this approach has been mastered and the necessary systems, processes, and relationships are in place, this should not take more time than a problem-oriented approach, and it will almost certainly be more satisfying for both physician and patient. The impact on population-based quality metrics is uncertain. Though fewer patients may choose to follow standard recommendations, those who do may be more likely to adhere to them.
摘要：
当目标是帮助患者提高生活质量时，直接关注对每个患者最重要的活动和关系是有意义的。这可以通过以下三个步骤来最有效地完成，包括1）与患者联系，2)共同创建以目标为导向的计划，和3)与病人合作，家庭,团队成员,和顾问来增加成功的概率。一旦掌握了这种方法和必要的系统，进程,关系已经到位，这不应该比面向问题的方法花费更多的时间，几乎可以肯定，这对医生和患者来说都会更令人满意。对基于人群的质量指标的影响是不确定的。尽管更少的患者可能会选择遵循标准建议，那些这样做的人可能更有可能坚持他们。
