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Experiences of care planning in England: interviews with patients with long term conditions
BACKGROUND: The 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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3436749/ https://www.ncbi.nlm.nih.gov/pubmed/22831570 http://dx.doi.org/10.1186/1471-2296-13-71 |
_version_ | 1782242687013879808 |
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author | Newbould, Jenny Burt, Jenni Bower, Peter Blakeman, Tom Kennedy, Anne Rogers, Anne Roland, Martin |
author_facet | Newbould, Jenny Burt, Jenni Bower, Peter Blakeman, Tom Kennedy, Anne Rogers, Anne Roland, Martin |
author_sort | Newbould, Jenny |
collection | PubMed |
description | BACKGROUND: The 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. METHODS: We 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. RESULTS: No 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. CONCLUSIONS: Amongst 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. |
format | Online Article Text |
id | pubmed-3436749 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-34367492012-09-08 Experiences of care planning in England: interviews with patients with long term conditions Newbould, Jenny Burt, Jenni Bower, Peter Blakeman, Tom Kennedy, Anne Rogers, Anne Roland, Martin BMC Fam Pract Research Article BACKGROUND: The 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. METHODS: We 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. RESULTS: No 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. CONCLUSIONS: Amongst 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. BioMed Central 2012-07-25 /pmc/articles/PMC3436749/ /pubmed/22831570 http://dx.doi.org/10.1186/1471-2296-13-71 Text en Copyright ©2012 Newbould et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Newbould, Jenny Burt, Jenni Bower, Peter Blakeman, Tom Kennedy, Anne Rogers, Anne Roland, Martin Experiences of care planning in England: interviews with patients with long term conditions |
title | Experiences of care planning in England: interviews with patients with long term conditions |
title_full | Experiences of care planning in England: interviews with patients with long term conditions |
title_fullStr | Experiences of care planning in England: interviews with patients with long term conditions |
title_full_unstemmed | Experiences of care planning in England: interviews with patients with long term conditions |
title_short | Experiences of care planning in England: interviews with patients with long term conditions |
title_sort | experiences of care planning in england: interviews with patients with long term conditions |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3436749/ https://www.ncbi.nlm.nih.gov/pubmed/22831570 http://dx.doi.org/10.1186/1471-2296-13-71 |
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