High Intensity Use of Urgent and Emergency Care: A Mixed-Methods Study

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorBournemouth University

About this trial

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.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

None

Disqualifiers

None

Trial population

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.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

80 Participants
are grouped into 3 trial groups
Group A: Patients
Group B: Carers
Group C: Health and Social Care Professionals

Trial outcomes

Primary outcomes

1

Health and social care needs and experiences of adults who frequently use urgent and emergency care services in Dorset

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.

Time frame
24 months

Secondary outcomes

1

Patterns of high intensity use of urgent and emergency care within the UHD population

Descriptive analysis of non-patient-identifiable UHD business intelligence data including frequency of attendance, directorate and specialty contact and temporal patterns of service use.

Time frame
24 months
2

Co-produced recommendations for a preventative intervention model

Recommendations developed through co-production workshops with the Advisory Group, supported by The Lantern Trust, drawing on qualitative findings and participant priorities.

Time frame
24 months
3

Evidence to inform future service development for people who experience high intensity use of urgent and emergency care

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.

Time frame
24 months

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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