Personalised care planning beneficial for adults with chronic or long-term health conditions

Personalised care planning led to improvements in certain indicators of physical and psychological health status and people's ability to self-manage their condition, when compared to usual care. Conditions included diabetes, mental health disorders, cardiac failure, end-stage renal disease and asthma. Evidence of impact on condition-specific health status, medication adherence, exercise frequency, resource use and cost-effectiveness was mixed. There was no evidence of effects on diastolic blood pressure, cholesterol, body mass index, generic health status, or diet. The effects were not large but appeared to be greater when the intervention was more comprehensive, intensive and well-integrated into routine care. Evidence on the relative cost-effectiveness of this approach was limited and uncertain.