Association of Patient Priorities–Aligned Decision-Making with Patient Outcomes and Ambulatory Health Care Burden among Older Adults with Multiple Chronic Conditions

Mary E. Tinetti
Aanand D. Naik
Lilian Dindo
Darce M. Costello
Jessica Esterson
Mary Geda
Jonathan Rosen
Kizzy Hernandez-Bigos
Cynthia Daisy Smith
Gregory M. Ouellet
Yungah Lee
Caroline Blaum
Gina Kang
Peer-Reviewed Article
December 2019


The patient priorities care approach, which aligns care with patient goals, leads to reductions in treatment burden and unwanted care.


Older adults with multiple chronic conditions often experience excessive health care burden. Patient priorities care is a patient-centered approach to decision-making where the patients identify their health priorities, goals, and preferences, and clinicians align their decision-making to these priorities. This article reviews outcomes associated with this model.


Use of patient priorities care led to a higher frequency of clinicians documenting the patient’s health priorities, goals, or preferences and making health priorities-based decisions. Patients who received this type of care experienced reduced treatment burden and unwanted care.


The patient priorities care approach to align decision-making with patient priorities may lead to better outcomes for older adults with multiple chronic conditions.

Posted to The Playbook on
Level of Evidence
What does this mean?