Evidence map›Paper›PMID 23883621›Full record

ArticlePrimary health care research & development2014

Care plans and care planning in long-term conditions: a conceptual model.

Jenni Burt, Jo Rick, Thomas Blakeman, Joanne Protheroe, Martin Roland, Pete Bower

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Primary health care research & development, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

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

  1. Pooled it
  2. Written action plans for children with long-term conditions: A systematic review and synthesis of qualitative data.Health expectations : an international journal of public participation in health care and health policy · 2018
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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

6 authors.

Jenni Burt1Cambridge Centre for Health Services Research,Institute of Public Health,University of Cambridge,Cambridge,UK.
Jo Rick2National Institute for Health Research School for Primary Care Research,Manchester Academic Health Science Centre,Centre for Primary Care,Institute of Population Health,University of Manchester,Manchester,UK.
Thomas Blakeman2National Institute for Health Research School for Primary Care Research,Manchester Academic Health Science Centre,Centre for Primary Care,Institute of Population Health,University of Manchester,Manchester,UK.
Joanne Protheroe3Research Institute for Primary Care and Health Sciences,Arthritis Research UK Primary Care Centre,Keele University,Keele,Staffordshire,UK.
Martin Roland1Cambridge Centre for Health Services Research,Institute of Public Health,University of Cambridge,Cambridge,UK.
Pete Bower2National Institute for Health Research School for Primary Care Research,Manchester Academic Health Science Centre,Centre for Primary Care,Institute of Population Health,University of Manchester,Manchester,UK.

Funding

Department of Health 077/0016
6 · The paper itself

Abstract

The prevalence and impact of long-term conditions continues to rise. Care planning for people with long-term conditions has been a policy priority for chronic disease management in a number of health-care systems. However, patients and providers appear unclear about the formulation and implementation of care planning. Further work in this area is therefore required to inform the development, implementation and evaluation of future care planning initiatives. We distinguish between 'care planning' (the process by which health-care professionals and patients discuss, agree and review an action plan to achieve the goals or behaviour change of most relevance and concern to the patient) and a 'care plan' (a written document recording the outcome of a care planning process). We propose a typology of care planning and care plans with three core dimensions: perspective (patient or professional), scope (a focus on goals or on behaviours) and networks (confined to the professional-patient dyad or extending to the entire care network). In addition, we draw on psychological models of mediation and moderation to outline potential mechanisms through which care planning and care plans may lead to improved outcomes for both patients and the wider health-care system. The proposed typology of care planning and care plans offered here, along with the model of the process by which care planning may influence outcomes, provide a useful framework for future policy developments and evaluations. Empirical work is required to explore the degree to which current care planning approaches and care plans can be described according to these dimensions, and the factors that determine which types of patients and professionals use which type of care plans.

Indexed as

Chronic DiseaseDecision MakingEnglandHealth PolicyHumansLong-Term CareModels, TheoreticalPatient Care PlanningPhysician-Patient RelationsPrimary Health Care

Identifiers

PMID23883621
PMCPMC3976966

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Registered trials

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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.