Clinical experience with goal attainment scaling in geriatric care

Objectives: This article presents a qualitative evaluation of the utility o f Goal Attainment Scaling (GAS) in geriatric care. GAS is an individualized outcome measure particularly suited for clients with multiple complex prob lems, such as are commonly served by geriatric programs. Methods: Semistruc tured interviews were completed with 24 clinicians in four hospital or comm unity-based geriatric services where GAS has been used. An inductive analys is was used to identify themes. Results: GAS was described as resulting in shorter lengths of stay, more focused care, and improved team functioning. GAS was perceived as having greater use for functional (versus medical) goa ls, when clinicians had more direct control over treatments, when patients were involved in goal-setting, and when goals were set by an interdisciplin ary team. Discussion: GAS has affected both care practices and patient outc omes. This study illustrates the clinical impacts an outcome measure can ha ve, as well as the use of qualitative methods for this type of research.