Is the New Care Planning Approach to Long Term Conditions Suitable for All Patients? The Case of Diabetes

Sally J. Giles; Penny Rhodes

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Is the New Care Planning Approach to Long Term Conditions Suitable for All Patients? The Case of Diabetes

in Chronicity Enquiries: Making Sense of Chronic Illness

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Sally J. Giles

Sally J. Giles
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Penny Rhodes

Penny Rhodes
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Art:: Kapitel

Seiten:: 167–176

DOI:: https://doi.org/10.1163/9781848881501_017

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The number of cases of diabetes is expected to rise significantly, particularly in certain ethnic and socially disadvantaged populations. Care planning offers people active involvement in deciding, agreeing and owning how their diabetes will be managed, of which a key element is patients setting personal goals in collaboration with health professionals. This project aims to evaluate the implementation of care planning for diabetes patients and a new electronic template designed to facilitate the process. We semi-structured interview health professionals (n=20) and patients (n=15), 3 months after the introduction of the care planning approach and 15 months later with the same participants. We find that before implementation, health professionals thought that the likely efficacy of the care planning approach would vary with levels of education, culture, English language competence, level of health literacy and perceived locus of control, i.e., the traditional patriarchal medical model, where ‘doctor knows best.’ After implementation, these concerns appeared to have been confirmed in practice. Interviews with patients supported the health professionals’ perspective. Few patients reported setting goals and most did not notice that there had been a change in approach to their care. South Asian patients and those with low health literacy tended to expect the doctor to direct their care. On the other hand, white middle-class patients with higher health literacy were more likely to engage in care planning. In conclusion, if care planning is to be rolled out for all patients with long term conditions, we need to ensure that some patients are not disadvantaged in the process.

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Chronicity Enquiries: Making Sense of Chronic Illness

ISBN:: 9781848881501

Verleger:: Brill

Print-Publikationsdatum:: 01 Jan 2013

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Is the New Care Planning Approach to Long Term Conditions Suitable for All Patients? The Case of Diabetes

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Chronicity Enquiries: Making Sense of Chronic Illness

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