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Developing interprofessional care plans in chronic care: a scoping review

Overview of attention for article published in BMC Primary Care, September 2016
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Developing interprofessional care plans in chronic care: a scoping review
Published in
BMC Primary Care, September 2016
DOI 10.1186/s12875-016-0535-7
Pubmed ID

Jerôme Jean Jacques van Dongen, Marloes Amantia van Bokhoven, Ramon Daniëls, Trudy van der Weijden, Wencke Wilhelmina Gerarda Petronella Emonts, Anna Beurskens


The number of people suffering from one or more chronic conditions is rising, resulting in an increase in patients with complex health care demands. Interprofessional collaboration and the use of shared care plans support the management of complex health care demands of patients with chronic illnesses. This study aims to get an overview of the scientific literature on developing interprofessional shared care plans. We conducted a scoping review of the scientific literature regarding the development of interprofessional shared care plans. A systematic database search resulted in 45 articles being included, 5 of which were empirical studies concentrating purely on the care plan. Findings were synthesised using directed content analysis. This review revealed three themes. The first theme was the format of the shared care plan, with the following elements: patient's current state; goals and concerns; actions and interventions; and evaluation. The second theme concerned the development of shared care plans, and can be categorised as interpersonal, organisational and patient-related factors. The third theme covered tools, whose main function is to support professionals in sharing patient information without personal contact. Such tools relate to documentation of and communication about patient information. Care plan development is not a free-standing concept, but should be seen as the result of an underlying process of interprofessional collaboration between team members, including the patient. To integrate the patients' perspectives into the care plans, their needs and values need careful consideration. This review indicates a need for new empirical studies examining the development and use of shared care plans and evaluating their effects.

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Mendeley readers

The data shown below were compiled from readership statistics for 104 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 104 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 15 14%
Student > Master 14 13%
Student > Ph. D. Student 9 9%
Student > Bachelor 9 9%
Other 7 7%
Other 21 20%
Unknown 29 28%
Readers by discipline Count As %
Medicine and Dentistry 26 25%
Nursing and Health Professions 21 20%
Social Sciences 10 10%
Psychology 6 6%
Pharmacology, Toxicology and Pharmaceutical Science 3 3%
Other 7 7%
Unknown 31 30%