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Case management for high ambulance users ineffective

Effectiveness of Multidisciplinary “Case Management” Approaches to the Management of Patients Who Make High Use of the Emergency Ambulance Service: A Quasi-experimental Evaluation Using Linked Routine Records
JACEP Open · Added 27 July 2026

Study on: Effectiveness of Multidisciplinary “Case Management” Approaches to the Management of Patients Who Make High Use of the Emergency Ambulance Service: A Quasi-experimental Evaluation Using Linked Routine. No abstract available for detailed assessment.

Study type

Cohort

Design

Quasi-experimental retrospective linked-routine-records cohort

Participants

1,183 high-use patients across 4 UK ambulance services (550 case management, 633 usual care)

Main finding

No difference in death or any emergency health contact within 6 months (95.6% vs 94.9%; adjusted OR 1.159, 95% CI 0.595-2.255); 6-month mortality 10.5% vs 14.1%

Caveat

Natural experiment without randomisation; high baseline contact rates limit ability to detect differences

Bottom line

Context only

Learning goal

Understand which system-level supports reduce repeated emergency calls for high-use patients when case management alone does not.

More

• Topic: Operations & systems
• Daily scan: 27 July 2026

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