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

BMC Family Practice

Research Article

Jenny Newbould¹  Jenni Burt¹  Anne Rogers²  Martin Roland²  Tom Blakeman²  Anne Kennedy²  Peter Bower² 

[1] Cambridge Centre for Health Services Research, University of Cambridge, Cambridge, UK;Health Sciences Research Group, University of Manchester, Manchester, UK;

关键词: Aged;    Chronic disease;    Chronic illness;    Patient care planning;    Primary health care;   

DOI  :  10.1186/1471-2296-13-71

 received in 2012-03-23, accepted in 2012-07-25,  发布年份 2012

来源: Springer

【 摘 要 】

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.

【 授权许可】

Unknown   
© Newbould et al.; licensee BioMed Central Ltd. 2012. This article is published under license to BioMed Central Ltd. 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.