ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2014
Care plans and care planning in the management of long-term conditions in the UK: a controlled prospective cohort study.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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.
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.
Who cites it
20 citing papers in PubMed.
- Randomized controlled study of the impact of a participatory patient care plan among primary care patients with common chronic diseases: a one-year follow-up study.BMC health services research · 2021Trial
- Can goal-setting for patients with multimorbidity improve outcomes in primary care? Cluster randomised feasibility trial.BMJ open · 2019Trial
- Trial
- Recovery-Oriented Care Planning in Mental Healthcare Services: A Combined Concept Analysis and Scoping Review.International journal of mental health nursing · 2026Article
- Article
- A Novel Primary Care Planning Informatics Tool Informed by Data-Driven Multimorbidity Grouping: User-Centered Design and Feasibility Testing.JMIR formative research · 2025Article
- The good, the bad and the ugly: What do we really do when we identify the best and the worst organisations?BMJ quality & safety · 2024Article
- PeRsOnaliSed care Planning for oldER people with frailty (PROSPER): protocol for a randomised controlled trial.Trials · 2024Article
- Health and social care professionals' experiences of collaborative planning-Applying the person-centred practice framework.Nursing open · 2020Article
- The impact of a combinatorial digital and organisational intervention on the management of long-term conditions in UK primary care: a non-randomised evaluation.BMC health services research · 2019Article
- Feasibility, user experiences, and preliminary effect ofPilot and feasibility studies · 2019Article
- Article
- Article
- The Patient Assessment of Chronic Illness Care produces measurements along a single dimension: results from a Mokken analysis.Health and quality of life outcomes · 2017Article
- Article
- Patient activation in older people with long-term conditions and multimorbidity: correlates and change in a cohort study in the United Kingdom.BMC health services research · 2016Observational
- Are care plans suitable for the management of multiple conditions?Journal of comorbidity · 2016Article
- Capturing the experiences of patients across multiple complex interventions: a meta-qualitative approach.BMJ open · 2015Article
- What are the core predictors of 'hassles' among patients with multimorbidity in primary care? A cross sectional study.BMC health services research · 2015Article
- Individual care plans for chronically ill patients within primary care in the Netherlands: Dissemination and associations with patient characteristics and patient-perceived quality of care.Scandinavian journal of primary health care · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
Abstract
backgroundIn the UK, the use of care planning and written care plans has been proposed to improve the management of long-term conditions, yet there is limited evidence concerning their uptake and benefits.
aimTo explore the implementation of care plans and care planning in the UK and associations with the process and outcome of care. DESIGN AND
settingA controlled prospective cohort study among two groups of patients with long-term conditions who were similar in demographic and clinical characteristics, but who were registered with general practices varying in their implementation of care plans and care planning.
methodImplementation of care plans and care planning in general practice was assessed using the 2009-2010 GP Patient Survey, and relationships with patient outcomes (self-management and vitality) were examined using multilevel, mixed effects linear regression modelling.
resultsThe study recruited 38 practices and 2439 patients. Practices in the two groups (high and low users of written documents) were similar in structural and population characteristics. Patients in the two groups of practices were similar in demographics and baseline health. Patients did demonstrate significant differences in reported experiences of care planning, although the differences were modest. Very few patients in the cohort reported a written plan that could be confirmed. Analysis of outcomes suggested that most patients show limited change over time in vitality and self-management. Variation in the use of care plans at the practice level was very limited and not related to patient outcomes over time.
conclusionThe use of written care plans in patients with long-term conditions is uncommon and unlikely to explain a substantive amount of variation in the process and outcome of care. More proactive efforts at implementation may be required to provide a rigorous test of the potential of care plans and care planning.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.