Table 2.

Outcome measures included in the reviews

Organisational	Clinical, lifestyle and condition-specific	Patient-centred
Condition-related hospital admissions All‐cause hospital admissions Risk of admission Hospital readmissions 30 days readmissions Risk of readmission Unplanned admissions Time between discharge and readmission All‐cause mortality Condition-related mortality ED visits LoS (home) LoS (hospital) Primary care consultations Nursing home admission GP visits Social worker visits Nursing visits Outpatient visits Ambulance calls Living in an institutional setting Clinician contact	Condition-related knowledge HbA1c BMI Foot care Self-monitoring of blood glucose Dyspnoea COPD exacerbations Pulmonary functions Distance on 6 min walk Exercise capacity Courses of oral steroids Progression to ESRD Change in proteinuria excretion Risk of dialysis eGFR BP Creatinine CRP BGL Cholesterol HDL LDL Triglycerides Smoking status Physical activity Behaviour change Alcohol Diet and nutrition Cognitive function Asthma exacerbations Asthma severity score Asthma-specific Qol	Qol Self-assessed health status HRQol Subjective health status Patient satisfaction Self-efficacy Self-care behaviour/activities Risk perception Trust of physician Physical dependency Activities of daily living or extended activities of daily living Decision quality Medication adherence Depression Anxiety Fatigue

BGL, blood glucose levels; BMI, body mass index; BP, blood pressure; COPD, chronic obstructive pulmonary disease; CRP, C reactive protein; ED, emergency department; eGFR, estimated glomerular filtration rate; ESRD, end-stage renal disease; GP, general practitioner; HbA1c, haemoglobin A1c; HDL, high-density lipoprotein; HRQol, health-related quality of life; LDL, low-density lipoprotein; LoS, length of stay; Qol, quality of life.