High Intensity Use of Urgent and Emergency Care: A Mixed-Methods Study
1 juni 2026 bijgewerkt door: 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.
Studie Overzicht
Toestand
Nog niet aan het werven
Studietype
Observationeel
Inschrijving (Geschat)
80
Deelname Criteria
Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Ja
Bemonsteringsmethode
Niet-waarschijnlijkheidssteekproef
Studie Bevolking
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.
Beschrijving
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)
Studie plan
Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.
Hoe is de studie opgezet?
Ontwerpdetails
Cohorten en interventies
Groep / Cohort |
|---|
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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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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Health and social care needs and experiences of adults who frequently use urgent and emergency care services in Dorset
Tijdsspanne: 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
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Patterns of high intensity use of urgent and emergency care within the UHD population
Tijdsspanne: 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
Tijdsspanne: 24 months
|
Recommendations developed through co-production workshops with the Advisory Group, supported by The Lantern Trust, drawing on qualitative findings and participant priorities.
|
24 months
|
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Evidence to inform future service development for people who experience high intensity use of urgent and emergency care
Tijdsspanne: 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.
|
24 months
|
Medewerkers en onderzoekers
Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.
Sponsor
Studie record data
Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.
Bestudeer belangrijke data
Studie start (Geschat)
1 september 2026
Primaire voltooiing (Geschat)
1 september 2028
Studie voltooiing (Geschat)
1 april 2029
Studieregistratiedata
Eerst ingediend
1 juni 2026
Eerst ingediend dat voldeed aan de QC-criteria
1 juni 2026
Eerst geplaatst (Werkelijk)
5 juni 2026
Updates van studierecords
Laatste update geplaatst (Werkelijk)
5 juni 2026
Laatste update ingediend die voldeed aan QC-criteria
1 juni 2026
Laatst geverifieerd
1 mei 2026
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- BU-HIU-2025-GW
- IRAS Number 356859 (Andere identificatie: Integrated Research Application System (IRAS))
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Nee
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
Nee
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