{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T12:47:22Z","timestamp":1768222042827,"version":"3.49.0"},"reference-count":46,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,29]],"date-time":"2025-11-29T00:00:00Z","timestamp":1764374400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,11,29]],"date-time":"2025-11-29T00:00:00Z","timestamp":1764374400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Planning &amp;amp; Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>This study investigates patients' goal\u2010oriented experiences in the context of home dialysis for chronic kidney disease (CKD). The aim is to understand how the home care context can be designed to support chronic patients in achieving their goals. Drawing on goal\u2010oriented experience theory, we explore how patients' motivations, desired outcomes, and lived experiences shape their perceptions of home health care. To do so, we employed a co\u2010design\u2010based qualitative methodology, including postal kits, photo diaries, ethnographic observations, in\u2010depth interviews, and participatory workshops with 22 stakeholders (patients, healthcare professionals, and caregivers) in public and private healthcare institutions in France. Seven key design features vital to patient experience and goal fulfilment were identified: patient participation, social support, training, food quality, home layout, interactions with medical staff, and consumable supply. These features enhance the cognitive (control and expertise), emotional (safety and comfort), and physical (fitness) dimensions of patient well\u2010being. Patients' main goals were survival, freedom, mobility, and maintaining normalcy in life. This study contributes to the literature on healthcare design and the patient journey by emphasizing goal\u2010oriented care and demonstrating how experiential knowledge and higher\u2010order goals can inform system design beyond conventional \u2018goals of care.\u2019 Healthcare systems should integrate patient\u2010defined goals into service design to promote autonomy and quality of life. Involving multiple stakeholders can foster deeper insights and more effective, user\u2010centric care models. This research pioneers a patient\u2010centric, goal\u2010oriented design framework in home healthcare, emphasizing the value of co\u2010design methods.<\/jats:p>","DOI":"10.1002\/hpm.70042","type":"journal-article","created":{"date-parts":[[2025,11,29]],"date-time":"2025-11-29T18:04:15Z","timestamp":1764439455000},"page":"171-181","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Designing the Healthcare System for the Fulfilment of Patient Goals: A Patient\u2010Centric Exploration in the Home Dialysis Context"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0194-5236","authenticated-orcid":false,"given":"Frederic","family":"Ponsignon","sequence":"first","affiliation":[{"name":"Operations Management KEDGE Business School  Talence France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie\u2010Julie Catoir","family":"Brisson","sequence":"additional","affiliation":[{"name":"Communication, Culture &amp; Langues Audencia Business School  Nantes France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susana","family":"Paix\u00e3o\u2010Barradas","sequence":"additional","affiliation":[{"name":"Design School Kedge Business School  Toulon France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corinne","family":"Grenier","sequence":"additional","affiliation":[{"name":"Health Management Kedge Business School  Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corinne Isnard","family":"Bagnis","sequence":"additional","affiliation":[{"name":"Nephrologist at Sorbonne University \/ Piti\u00e9\u2010Salp\u00eatri\u00e8re and Tenon Hospitals  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,29]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocpiqo.2023.08.005"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.xkme.2024.100898"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.291.21.2616"},{"key":"e_1_2_10_5_1","first-page":"1","volume-title":"Proceedings of the ACM on Human\u2010Computer Interaction","author":"Bhat K. 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