Care Planning: What Works, for Whom, and in What Circumstances? A Rapid Realist Review

被引:19
|
作者
Brown, Sarah [1 ]
Lhussier, Monique [2 ]
Dalkin, Sonia M. [2 ]
Eaton, Simon [3 ]
机构
[1] Northumbria Univ, Newcastle Upon Tyne, Tyne & Wear, England
[2] Northumbria Univ, Publ Hlth & Wellbeing, Newcastle Upon Tyne, Tyne & Wear, England
[3] Northumbria Healthcare NHS Fdn Trust, Newcastle Upon Tyne, Tyne & Wear, England
关键词
care planning; long-term conditions; multimorbidity; realist review; rapid realist review; systematic review; realist evaluation; qualitative research; international research; SHARED DECISION-MAKING; SELF-MANAGEMENT SUPPORT; LONG-TERM CONDITIONS; EXPERIENCES; OUTCOMES; PEOPLE; MODEL; TRIAL; PLANS; TOOL;
D O I
10.1177/1049732318768807
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Care planning has been described as a "better conversation" that helps people with long-term conditions to be in control of planning their care. Each person with long-term conditions faces individual challenges and each health care setting is fundamentally different, so there is a need for empirical testing of the specific mechanisms through which care planning may lead to health improvements. A rapid realist review was conducted to unearth underpinning mechanisms leading to outcomes in particular contexts. These are expressed in the form of realist theories, which are developed and refined through the review process. Fifty-one full text studies were included in the review. Seven program theories were iteratively tested and refined. A detailed description of what care planning is and what it should look like in practice has been achieved in the form of realist theories.
引用
收藏
页码:2250 / 2266
页数:17
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