Evidence map›Paper›PMID 22831570›Full record

ArticleBMC family practice2012

Experiences of care planning in England: interviews with patients with long term conditions.

Jenny Newbould, Jenni Burt, Peter Bower, Tom Blakeman, Anne Kennedy, Anne Rogers, Martin Roland

Abstract read
In one paragraph

Article in BMC family practice, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Article
  8. Multimorbidity.Nature reviews. Disease primers · 2022
    Review
  9. Reflections of the collaborative care planning as a person-centred practice.Nursing philosophy : an international journal for healthcare professionals · 2022
    Article
  10. Development and usability of a feedback tool, "My Personal Brain Health Dashboard", to improve setting of self-management goals among people living with HIV in Canada.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021
    Article
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  17. Mirror meetings with frail older people and multidisciplinary primary care teams: Process and impact analysis.Health expectations : an international journal of public participation in health care and health policy · 2019
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jenny NewbouldCambridge Centre for Health Services Research, University of Cambridge, Cambridge, UK.
Jenni Burt
Peter Bower
Tom Blakeman
Anne Kennedy
Anne Rogers
Martin Roland

Funding

Department of Health 0770016
6 · The paper itself

Abstract

backgroundThe prevalence and impact of long term conditions continues to rise. Care planning for people with long term conditions has been a policy priority in England for chronic disease management. However, it is not clear how care planning is currently understood, translated and implemented in primary care. This study explores experience of care planning in patients with long term conditions in three areas in England.

methodsWe conducted semi-structured interviews with 23 predominantly elderly patients with multiple long term conditions. The interviews were designed to explore variations in and emergent experiences of care planning. Qualitative analysis of interview transcripts involved reflexively coding and re-coding data into categories and themes.

resultsNo participants reported experiencing explicit care planning discussions or receiving written documentation setting out a negotiated care plan and they were unfamiliar with the term 'care planning'. However, most described some components of care planning which occurred over a number of contacts with health care professionals which we term "reactive" care planning. Here, key elements of care planning including goal setting and action planning were rare. Additionally, poor continuity and coordination of care, lack of time in consultations, and patient concerns about what was legitimate to discuss with the doctor were described.

conclusionsAmongst this population, elements of care planning were present in their accounts, but a structured, comprehensive process and consequent written record (as outlined in English Department of Health policy) was not evident. Further research needs to explore the advantages and disadvantages of different approaches to care planning for different patient groups.

Indexed as

AgedChronic DiseaseEnglandFemaleHealth PolicyHumansInterviews as TopicMalePatient Care PlanningPrimary Health CareQualitative ResearchSelf Care

Identifiers

PMID22831570
PMCPMC3436749

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.