High Intensity Use of Urgent and Emergency Care: A Mixed-Methods Study
1. juni 2026 opdateret af: Bournemouth University
High Intensity Use of Urgent and Emergency Care: a Mixed-methods Study Exploring Needs, Experiences and Priorities to Co-produce a Preventative Intervention Model
This study aims to understand the health and social care needs and experiences of adults who frequently use urgent and emergency care services in Dorset.
Using a mixed-methods design, the study combines analysis of non-patient-identifiable business intelligence data with qualitative interviews and co-production activities.
The business intelligence data contextualises patterns of high intensity service use and informs participant identification.
Qualitative interviews will explore the personal, social and system-level factors that contribute to frequent attendance.
Co-production activities with an advisory group, supported by The Lantern Trust in Weymouth, will use these findings to develop a preventative intervention model grounded in lived experience.
The study will recruit up to 50 patients, up to 10 carers and up to 20 health and social care professionals.
The findings will contribute to the development of more effective, person-centred approaches to supporting people who frequently use urgent and emergency care services and will inform national and local policy in this area.
Studieoversigt
Status
Ikke rekrutterer endnu
Undersøgelsestype
Observationel
Tilmelding (Anslået)
80
Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Ja
Prøveudtagningsmetode
Ikke-sandsynlighedsprøve
Studiebefolkning
Adults who frequently use urgent and emergency care services at University Hospitals Dorset, their carers and health and social care professionals involved in urgent and emergency care pathways in Dorset.
Beskrivelse
Inclusion Criteria:
Adults aged 18 or over who have been identified as experiencing high intensity use of urgent and emergency care services at University Hospitals Dorset, defined as five or more unplanned contacts within a 12-month period Adults aged 18 or over who provide unpaid care or support to someone who experiences high intensity use of urgent and emergency care services Health and social care professionals aged 18 or over involved in urgent and emergency care pathways at University Hospitals Dorset, Dorset HealthCare, Dorset Council or voluntary sector partner organisations Able to provide informed consent Willing to take part in an audio-recorded interview-
Exclusion Criteria:
Under 18 years of age Unable to provide informed consent Currently experiencing an acute mental health crisis requiring immediate clinical intervention Known history of violence or aggression towards health and social care professionals Currently receiving inpatient treatment at the time of recruitment No direct involvement in urgent and emergency care pathways at the participating organisations (professionals only)
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
Kohorter og interventioner
Gruppe / kohorte |
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Patients
Adults aged 18 or over who experience high intensity use of urgent and emergency care services at University Hospitals Dorset, defined as five or more unplanned contacts within a 12-month period.
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Carers
Adults aged 18 or over who provide unpaid care or support to someone who experiences high intensity use of urgent and emergency care services.
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Health and Social Care Professionals
Description: Health and social care professionals involved in urgent and emergency care pathways at University Hospitals Dorset, Dorset HealthCare, Dorset Council or voluntary sector partner organisations.
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Health and social care needs and experiences of adults who frequently use urgent and emergency care services in Dorset
Tidsramme: 24 months
|
Assessed through qualitative interviews and analysis of non-patient-identifiable UHD business intelligence data, including identification of personal, social and system-level factors contributing to high intensity use and co-produced recommendations for a preventative intervention model.
|
24 months
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Patterns of high intensity use of urgent and emergency care within the UHD population
Tidsramme: 24 months
|
Descriptive analysis of non-patient-identifiable UHD business intelligence data including frequency of attendance, directorate and specialty contact and temporal patterns of service use.
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24 months
|
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Co-produced recommendations for a preventative intervention model
Tidsramme: 24 months
|
Recommendations developed through co-production workshops with the Advisory Group, supported by The Lantern Trust, drawing on qualitative findings and participant priorities.
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24 months
|
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Evidence to inform future service development for people who experience high intensity use of urgent and emergency care
Tidsramme: 24 months
|
Synthesis of qualitative and business intelligence data findings to identify opportunities for earlier, more coordinated and person-centred support for people who frequently use urgent and emergency care services.
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24 months
|
Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart (Anslået)
1. september 2026
Primær færdiggørelse (Anslået)
1. september 2028
Studieafslutning (Anslået)
1. april 2029
Datoer for studieregistrering
Først indsendt
1. juni 2026
Først indsendt, der opfyldte QC-kriterier
1. juni 2026
Først opslået (Faktiske)
5. juni 2026
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
5. juni 2026
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
1. juni 2026
Sidst verificeret
1. maj 2026
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- BU-HIU-2025-GW
- IRAS Number 356859 (Anden identifikator: Integrated Research Application System (IRAS))
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Ingen
Studerer et amerikansk FDA-reguleret enhedsprodukt
Ingen
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