STRategies to manage Emergency ambulance Telephone Callers with sustained High needs: an Evaluation using linked Data (STRETCHED) - a study protocol.
STRategies to manage Emergency ambulance Telephone Callers with sustained High needs: an Evaluation using linked Data (STRETCHED) - a study protocol.
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DOI：
10.1136/bmjopen-2021-053123
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发表时间：
2022-03-29
期刊：
影响因子：
2.9
通讯作者：
Watkins A
中科院分区：
文献类型：
--
作者：
Aslam RW;Snooks H;Porter A;Khanom A;Cole R;Edwards A;Edwards B;Evans BA;Foster T;Fothergill R;Gripper P;John A;Petterson R;Rosser A;Tee A;Sewell B;Hughes H;Phillips C;Rees N;Scott J;Watkins A
英国救护车服务已经确定了999服务的高用户的关注，并建立了'频繁呼叫者'服务，从服务内管理到跨部门多学科的案例管理方法。关于如何满足这一患者群体的需求，几乎没有证据。评估案例管理方法对经常呼叫紧急救护车服务的人的护理的有效性，安全性和效率，并了解实施的障碍和促进因素。(1)了解预测的变化机制以支持评估。(2)描述999服务持续高用户的流行病学。(3)评估病例管理方法，以照顾那些经常拨打999救护车服务的人：（i）进一步的紧急联系（999，急诊室，急诊入院）（ii）对其他服务的影响（iii）不良事件（死亡，受伤，严重的医疗紧急情况和警察逮捕）（iv）干预和护理的成本（v）患者的护理经验。(4)识别与使用案例管理模型相关的挑战和机遇，包括与成功相关的特征，并开发关于案例管理如何在此人群中工作的理论。我们将在四个地区的救护车服务中，通过使用“自然实验”队列设计中的匿名链接常规数据结果，对经常使用救护车服务的人进行病例管理的多地点混合方法评估。我们将与服务用户、专员以及紧急和非紧急护理提供者进行访谈和焦点小组。本研究的计划开始和结束日期分别为2019年4月1日和2022年9月1日。本研究已获得英国卫生研究管理局的批准（保密咨询小组参考编号：19/CAG/0195;研究伦理委员会参考编号：19/WA/0216）。我们将整理来自我们的生活经验咨询小组，经常打电话的国家网络和研究管理小组的反馈意见，以便开展有针对性的传播活动。
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. 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. (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. 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 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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影响因子：
3.5
作者：
Lyons RA;Jones KH;John G;Brooks CJ;Verplancke JP;Ford DV;Brown G;Leake K
通讯作者：
Leake K
影响因子：
105.7
作者：
Staniszewska, S.;Brett, J.;Tysall, C.
通讯作者：
Tysall, C.
影响因子：
6
作者：
Ziebland, S;McPherson, A
通讯作者：
McPherson, A
影响因子：
2.4
作者：
Andrew, Emily;Nehme, Ziad;Smith, Karen
通讯作者：
Smith, Karen
影响因子：
--
作者：
Jones, K H;Ford, D V;Lyons, R A
通讯作者：
Lyons, R A