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STRategies to manage Emergency ambulance Telephone Callers with sustained High needs: an Evaluation using linked Data (STRETCHED) – a study protocol

INTRODUCTION: UK ambulance services have identified a concern with high users of the 999 service and have set up ‘frequent callers’ services, ranging from within-service management to cross-sectoral multidisciplinary case management approaches. There is little evidence about how to address the needs...

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Autores principales: Aslam, Rabeea'h W, Snooks, Helen, Porter, Alison, Khanom, Ashrafunnesa, Cole, Robert, Edwards, Adrian, Edwards, Bethan, Evans, Bridie Angela, Foster, Theresa, Fothergill, Rachael, Gripper, Penny, John, Ann, Petterson, Robin, Rosser, Andy, Tee, Anna, Sewell, Bernadette, Hughes, Heather, Phillips, Ceri, Rees, Nigel, Scott, Jason, Watkins, Alan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8966558/
https://www.ncbi.nlm.nih.gov/pubmed/35351702
http://dx.doi.org/10.1136/bmjopen-2021-053123
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author Aslam, Rabeea'h W
Snooks, Helen
Porter, Alison
Khanom, Ashrafunnesa
Cole, Robert
Edwards, Adrian
Edwards, Bethan
Evans, Bridie Angela
Foster, Theresa
Fothergill, Rachael
Gripper, Penny
John, Ann
Petterson, Robin
Rosser, Andy
Tee, Anna
Sewell, Bernadette
Hughes, Heather
Phillips, Ceri
Rees, Nigel
Scott, Jason
Watkins, Alan
author_facet Aslam, Rabeea'h W
Snooks, Helen
Porter, Alison
Khanom, Ashrafunnesa
Cole, Robert
Edwards, Adrian
Edwards, Bethan
Evans, Bridie Angela
Foster, Theresa
Fothergill, Rachael
Gripper, Penny
John, Ann
Petterson, Robin
Rosser, Andy
Tee, Anna
Sewell, Bernadette
Hughes, Heather
Phillips, Ceri
Rees, Nigel
Scott, Jason
Watkins, Alan
author_sort Aslam, Rabeea'h W
collection PubMed
description INTRODUCTION: UK ambulance services have identified a concern with high users of the 999 service and have set up ‘frequent callers’ services, ranging from within-service management to cross-sectoral multidisciplinary case management approaches. There is little evidence about how to address the needs of this patient group. AIM: To evaluate effectiveness, safety and efficiency of case management approaches to the care of people who frequently call the emergency ambulance service, and gain an understanding of barriers and facilitators to implementation. OBJECTIVES: (1) Develop an understanding of predicted mechanisms of change to underpin evaluation. (2) Describe epidemiology of sustained high users of 999 services. (3) Evaluate case management approaches to the care of people who call the 999 ambulance service frequently in terms of: (i) Further emergency contacts (999, emergency department, emergency admissions to hospital) (ii) Effects on other services (iii) Adverse events (deaths, injuries, serious medical emergencies and police arrests) (iv) Costs of intervention and care (v) Patient experience of care. (4) Identify challenges and opportunities associated with using case management models, including features associated with success, and develop theories about how case management works in this population. METHODS AND ANALYSIS: We will conduct a multisite mixed-methods evaluation of case management for people who use ambulance services frequently by using anonymised linked routine data outcomes in a ‘natural experiment’ cohort design, in four regional ambulance services. We will conduct interviews and focus groups with service users, commissioners and emergency and non-acute care providers. The planned start and end dates of the study are 1 April 2019 and 1 September 2022, respectively ETHICS AND DISSEMINATION: The study received approval from the UK Health Research Authority (Confidentiality Advisory Group reference number: 19/CAG/0195; research ethics committee reference number: 19/WA/0216). We will collate feedback from our Lived Experience Advisory Panel, the Frequent Caller National Network and Research Management Group for targeted dissemination activities.
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spelling pubmed-89665582022-04-19 STRategies to manage Emergency ambulance Telephone Callers with sustained High needs: an Evaluation using linked Data (STRETCHED) – a study protocol Aslam, Rabeea'h W Snooks, Helen Porter, Alison Khanom, Ashrafunnesa Cole, Robert Edwards, Adrian Edwards, Bethan Evans, Bridie Angela Foster, Theresa Fothergill, Rachael Gripper, Penny John, Ann Petterson, Robin Rosser, Andy Tee, Anna Sewell, Bernadette Hughes, Heather Phillips, Ceri Rees, Nigel Scott, Jason Watkins, Alan BMJ Open Emergency Medicine INTRODUCTION: UK ambulance services have identified a concern with high users of the 999 service and have set up ‘frequent callers’ services, ranging from within-service management to cross-sectoral multidisciplinary case management approaches. There is little evidence about how to address the needs of this patient group. AIM: To evaluate effectiveness, safety and efficiency of case management approaches to the care of people who frequently call the emergency ambulance service, and gain an understanding of barriers and facilitators to implementation. OBJECTIVES: (1) Develop an understanding of predicted mechanisms of change to underpin evaluation. (2) Describe epidemiology of sustained high users of 999 services. (3) Evaluate case management approaches to the care of people who call the 999 ambulance service frequently in terms of: (i) Further emergency contacts (999, emergency department, emergency admissions to hospital) (ii) Effects on other services (iii) Adverse events (deaths, injuries, serious medical emergencies and police arrests) (iv) Costs of intervention and care (v) Patient experience of care. (4) Identify challenges and opportunities associated with using case management models, including features associated with success, and develop theories about how case management works in this population. METHODS AND ANALYSIS: We will conduct a multisite mixed-methods evaluation of case management for people who use ambulance services frequently by using anonymised linked routine data outcomes in a ‘natural experiment’ cohort design, in four regional ambulance services. We will conduct interviews and focus groups with service users, commissioners and emergency and non-acute care providers. The planned start and end dates of the study are 1 April 2019 and 1 September 2022, respectively ETHICS AND DISSEMINATION: The study received approval from the UK Health Research Authority (Confidentiality Advisory Group reference number: 19/CAG/0195; research ethics committee reference number: 19/WA/0216). We will collate feedback from our Lived Experience Advisory Panel, the Frequent Caller National Network and Research Management Group for targeted dissemination activities. BMJ Publishing Group 2022-03-29 /pmc/articles/PMC8966558/ /pubmed/35351702 http://dx.doi.org/10.1136/bmjopen-2021-053123 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Emergency Medicine
Aslam, Rabeea'h W
Snooks, Helen
Porter, Alison
Khanom, Ashrafunnesa
Cole, Robert
Edwards, Adrian
Edwards, Bethan
Evans, Bridie Angela
Foster, Theresa
Fothergill, Rachael
Gripper, Penny
John, Ann
Petterson, Robin
Rosser, Andy
Tee, Anna
Sewell, Bernadette
Hughes, Heather
Phillips, Ceri
Rees, Nigel
Scott, Jason
Watkins, Alan
STRategies to manage Emergency ambulance Telephone Callers with sustained High needs: an Evaluation using linked Data (STRETCHED) – a study protocol
title STRategies to manage Emergency ambulance Telephone Callers with sustained High needs: an Evaluation using linked Data (STRETCHED) – a study protocol
title_full STRategies to manage Emergency ambulance Telephone Callers with sustained High needs: an Evaluation using linked Data (STRETCHED) – a study protocol
title_fullStr STRategies to manage Emergency ambulance Telephone Callers with sustained High needs: an Evaluation using linked Data (STRETCHED) – a study protocol
title_full_unstemmed STRategies to manage Emergency ambulance Telephone Callers with sustained High needs: an Evaluation using linked Data (STRETCHED) – a study protocol
title_short STRategies to manage Emergency ambulance Telephone Callers with sustained High needs: an Evaluation using linked Data (STRETCHED) – a study protocol
title_sort strategies to manage emergency ambulance telephone callers with sustained high needs: an evaluation using linked data (stretched) – a study protocol
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8966558/
https://www.ncbi.nlm.nih.gov/pubmed/35351702
http://dx.doi.org/10.1136/bmjopen-2021-053123
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