School of Public Health and Health Systems, University of Waterloo, Ontario, Canada.
Disabil Rehabil. 2012;34(20):1716-26. doi: 10.3109/09638288.2012.660600. Epub 2012 Mar 7.
Goal Attainment Scaling (GAS) is an individualized goal-setting and measurement approach that is useful for patients with multiple, individualized health problems, such as those served by geriatric day hospitals (GDHs) and other specialized geriatric programmes.
To assess the feasibility and utility of GAS in a multi-site study of six GDH affiliated with the Regional Geriatric Programmes of Ontario.
Individualized GAS guides were developed for 15 consecutively admitted patients at each site [total n = 90; mean age: 76.2 SD 8.3; 58.9% female; mean attendances: 24.0 SD 10.3]. Staff members (n = 39) were surveyed on their experience with GAS.
Mean goals/patient ranged across sites from 2.1 to 4.3. Mean GAS discharge score was 52.3 SD 8.7, close to the theoretically expected values of 50 SD 10. Common goals included mobility, community reintegration, basic and instrumental activities of daily living, medical issues, cognition/communication, and home safety. Estimated mean time to develop a GAS guide ranged across sites from 15.3 to 43.8 min.
Clients were often involved in goal setting; family involvement was less frequent. The staff survey identified challenges and benefits regarding the use of GAS. Study results are being used to inform a more consistent approach to the clinical and research use of GAS in GDH.
目标达成量表（GAS）是一种个体化的目标设定和测量方法，对于患有多种个体化健康问题的患者非常有用，例如老年日间医院（GDH）和其他专门的老年计划所服务的患者。
在安大略省区域老年计划下属的六个 GDH 的多地点研究中评估 GAS 的可行性和实用性。
为每个地点连续入院的 15 名患者（共 90 名患者；平均年龄：76.2 ± 8.3；58.9%为女性；平均就诊次数：24.0 ± 10.3）制定了个体化的 GAS 指南。工作人员（n = 39）对他们使用 GAS 的经验进行了调查。
平均每位患者的目标数在各个地点从 2.1 到 4.3 不等。平均 GAS 出院评分为 52.3 ± 8.7，接近 50 ± 10 的理论预期值。常见的目标包括移动能力、社区重新融入、基本和工具性日常生活活动、医疗问题、认知/沟通和家庭安全。估计开发 GAS 指南的平均时间在各个地点从 15.3 到 43.8 分钟不等。
患者经常参与目标设定；家庭参与较少。工作人员调查确定了在使用 GAS 方面的挑战和益处。研究结果正在用于为 GDH 中 GAS 的临床和研究使用提供更一致的方法提供信息。
