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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...
Autores principales: | , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2022
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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. |
format | Online Article Text |
id | pubmed-8966558 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
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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