High Intensity Use of Urgent and Emergency Care: A Mixed-Methods Study
1 de junio de 2026 actualizado por: 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.
Descripción general del estudio
Estado
Aún no reclutando
Tipo de estudio
De observación
Inscripción (Estimado)
80
Criterios de participación
Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.
Criterio de elegibilidad
Edades elegibles para estudiar
- Adulto
- Adulto Mayor
Acepta Voluntarios Saludables
Sí
Método de muestreo
Muestra no probabilística
Población de estudio
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.
Descripción
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)
Plan de estudios
Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.
¿Cómo está diseñado el estudio?
Detalles de diseño
Cohortes e Intervenciones
Grupo / Cohorte |
|---|
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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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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Health and social care needs and experiences of adults who frequently use urgent and emergency care services in Dorset
Periodo de tiempo: 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
|
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Patterns of high intensity use of urgent and emergency care within the UHD population
Periodo de tiempo: 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.
|
24 months
|
|
Co-produced recommendations for a preventative intervention model
Periodo de tiempo: 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
Periodo de tiempo: 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
|
Colaboradores e Investigadores
Aquí es donde encontrará personas y organizaciones involucradas en este estudio.
Patrocinador
Fechas de registro del estudio
Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.
Fechas importantes del estudio
Inicio del estudio (Estimado)
1 de septiembre de 2026
Finalización primaria (Estimado)
1 de septiembre de 2028
Finalización del estudio (Estimado)
1 de abril de 2029
Fechas de registro del estudio
Enviado por primera vez
1 de junio de 2026
Primero enviado que cumplió con los criterios de control de calidad
1 de junio de 2026
Publicado por primera vez (Actual)
5 de junio de 2026
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
5 de junio de 2026
Última actualización enviada que cumplió con los criterios de control de calidad
1 de junio de 2026
Última verificación
1 de mayo de 2026
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- BU-HIU-2025-GW
- IRAS Number 356859 (Otro identificador: Integrated Research Application System (IRAS))
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
No
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
No
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .