Relevant bibliographies by topics / Community paramedicine

Academic literature on the topic 'Community paramedicine'

Author: Grafiati
Published: 10 December 2022
Last updated: 28 January 2023

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Journal articles on the topic "Community paramedicine"

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Smith-Houskamp, Beth, Barbara Balik, and Andrea Hauser. "Innovation in Action: Community Paramedicine." Nurse Leader 15, no. 1 (February 2017): 31–33. http://dx.doi.org/10.1016/j.mnl.2016.11.003.

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Paranjape, Arnika. "The future of community paramedicine." Journal of Paramedic Practice 9, no. 3 (March 2, 2017): 97. http://dx.doi.org/10.12968/jpar.2017.9.3.97.

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Bennett, Kevin J., Matt W. Yuen, and Melinda A. Merrell. "Community Paramedicine Applied in a Rural Community." Journal of Rural Health 34 (March 23, 2017): s39—s47. http://dx.doi.org/10.1111/jrh.12233.

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Chan, Joyce, Lauren E. Griffith, Andrew P. Costa, Matthew S. Leyenaar, and Gina Agarwal. "Community paramedicine: A systematic review of program descriptions and training." CJEM 21, no. 6 (March 19, 2019): 749–61. http://dx.doi.org/10.1017/cem.2019.14.

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ABSTRACTObjectivesThe aim of this study is to identify the types of community paramedicine programs and the training for each.MethodsA systematic review of MEDLINE, Embase, grey literature, and bibliographies followed a search strategy using common community paramedicine terms. All studies published in English up to January 22, 2018, were captured. Screening and extraction were completed in duplicate by two independent reviewers. The Mixed Methods Appraisal Tool (MMAT) was used to assess studies’ methodological quality (full methodology on PROSPERO: CRD42017051774).ResultsFrom 3,004 papers, there were 64 papers identified (58 unique community paramedicine programs). Of the papers with an appraisable study design (40.6%), the median MMAT score was 3 of 4 criteria met, suggesting moderate quality. Programs most often served frequent 911 callers (48.3%) and individuals at risk for emergency department admission, readmission, or hospitalization (41.4%); and 70.7% of programs were preventive home visits. Common services provided were home assessment (29.5%), medication management (39.7%), and referral and/or transport to community services (37.9%); and 77.6% of programs involved interprofessional collaboration. Community paramedicine training was described by 57% of programs and expanded upon traditional paramedicine training and emphasized technical skills. Study heterogeneity prevented meta-analysis.ConclusionCommunity paramedicine programs and training were diverse and allowed community paramedics to address a spectrum of population health and social needs. Training was poorly described. Enabling more programs to assess and report on program and training outcomes would support community paramedicine growth and the development of formalized training or education frameworks.
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Leyenaar, Matthew S., Brent McLeod, Sarah Penhearow, Ryan Strum, Madison Brydges, Eric Mercier, Audrey-Anne Brousseau, et al. "What do community paramedics assess? An environmental scan and content analysis of patient assessment in community paramedicine." CJEM 21, no. 6 (August 1, 2019): 766–75. http://dx.doi.org/10.1017/cem.2019.379.

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ABSTRACTObjectivesPatient assessment is a fundamental feature of community paramedicine, but the absence of a recognized standard for assessment practices contributes to uncertainty about what drives care planning and treatment decisions. Our objective was to summarize the content of assessment instruments and describe the state of current practice in community paramedicine home visit programs.MethodsWe performed an environmental scan of all community paramedicine programs in Ontario, Canada, and used content analysis to describe current assessment practices in home visit programs. The International Classification on Functioning, Disability, and Health (ICF) was used to categorize and compare assessments. Each item within each assessment form was classified according to the ICF taxonomy.ResultsA total of 43 of 52 paramedic services in Ontario, Canada, participated in the environmental scan with 24 being eligible for further investigation through content analysis of intake assessment forms. Among the 24 services, 16 met inclusion criteria for content analysis. Assessment forms contained between 13 and 252 assessment items (median 116.5, IQR 134.5). Most assessments included some content from each of the domains outlined in the ICF. At the subdomain level, only assessment of impairments of the functions of the cardiovascular, hematological, immunological, and respiratory systems appeared in all assessments.ConclusionAlthough community paramedicine home visit programs may differ in design and aim, all complete multi-domain assessments as part of patient intake. If community paramedicine home visit programs share similar characteristics but assess patients differently, it is difficult to expect that the resulting referrals, care planning, treatments, or interventions will be similar.
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Elden, Odd Eirik, Oddvar Uleberg, Marianne Lysne, and Hege Selnes Haugdahl. "Community paramedicine—cost–benefit analysis and safety with paramedical emergency services in rural areas: scoping review protocol." BMJ Open 10, no. 9 (September 2020): e038651. http://dx.doi.org/10.1136/bmjopen-2020-038651.

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IntroductionCommunity paramedicine models have been developed around the world in response to demographic changes, healthcare system needs and reforms. The traditional role of the paramedic has primarily been to provide emergency medical response and transportation of patients to nearby medical facilities. As a response to healthcare service gaps in underserved communities and the growing professionalisation of the workforce, the role of community paramedicine has evolved as a new model of care. A community paramedicine model in one region might address other healthcare needs than a model in another region. Various terms are also in use for community paramedicine providers, with no consensus on the definition for community paramedics, although the definition used by the International Roundtable on Community Paramedicine has been widely accepted. We aimed to examine the current knowledge and possibly identify gaps in the research/knowledge base for cost–benefit analysis and safety concerning community paramedicine in rural areas using a scoping review methodology.Methods and analysisThis scoping review will follow the methodology developed by Arksey and O’Malley and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. In October 2020, we will search electronic databases (MEDLINE via PubMed, CINAHL, Cochrane and Embase) and the reference lists of key studies to identify studies for inclusion. The selection process is in two steps. First, two reviewers will independently screen identified articles for title and abstracts and, second, perform a full-text review of eligible studies for inclusion. Studies focusing on community paramedicine in rural areas, which include cost–benefit analysis or safety evaluation, will be included.Ethics and disseminationThe data used are available from publicly secondary sources, therefore this study will not require ethical review. The results will be disseminated through peer-reviewed publication.
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Leyenaar, Matthew S., Ryan P. Strum, Alan M. Batt, Samir Sinha, Michael Nolan, Gina Agarwal, Walter Tavares, and Andrew P. Costa. "Examining consensus for a standardised patient assessment in community paramedicine home visits: a RAND/UCLA-modified Delphi Study." BMJ Open 9, no. 10 (October 2019): e031956. http://dx.doi.org/10.1136/bmjopen-2019-031956.

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ObjectiveCommunity paramedicine programme are often designed to address repeated and non-urgent use of paramedic services by providing patients with alternatives to the traditional ‘treat and transport’ ambulance model of care. We sought to investigate the level of consensus that could be found by a panel of experts regarding appropriate health, social and environmental domains that should be assessed in community paramedicine home visit programme.DesignWe applied the RAND/UCLA Appropriateness Method in a modified Delphi method to investigate the level of consensus on assessment domains for use in community paramedicine home visit programme.Setting and participantsWe included a multi-national panel of 17 experts on community paramedicine and in-home assessment from multiple settings (paramedicine, primary care, mental health, home and community care, geriatric care).MeasuresA list of potential assessment categories was established after a targeted literature review and confirmed by panel members. Over multiple rounds, panel members scored the appropriateness of 48 assessment domains on a Likert scale from 0 (not appropriate) to 5 (very appropriate). Scores were then reviewed at an in-person meeting and a finalised list of assessment domains was generated.ResultsAfter the preliminary round of scoring, all 48 assessment domains had scores that demonstrated consensus. Nine assessment domains (18.8%) demonstrated a wider range of rated appropriateness. No domains were found to be not appropriate. Achieving consensus about the appropriateness of assessment domains on the first round of scoring negated the need for subsequent rounds of scoring. The in-person meeting resulted in re-grouping assessment domains and adding an additional domain about urinary continence.ConclusionAn international panel of experts with knowledge about in-home assessment by community paramedics demonstrated a high level of agreement on appropriate patient assessment domains for community paramedicine home visit programme. Community paramedicine home visit programme are likely to have similar patient populations. A standardised assessment instrument may be viable in multiple settings.
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Batt, Alan M., Amber Hultink, Chelsea Lanos, Barbara Tierney, Mathieu Grenier, and Julia Heffern. "PP19 Advances in community paramedicine in response to COVID-19." Emergency Medicine Journal 39, no. 9 (August 23, 2022): e5.11. http://dx.doi.org/10.1136/emermed-2022-999.19.

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BackgroundAlready well situated in the community, paramedics work collaboratively with other community partners to ensure patients receive the services that they require and the high quality in-home and in-community care they deserve. The ongoing COVID-19 pandemic has highlighted the prevalence of social inequities in Canada, particularly in already marginalized groups, and the importance of social connectedness and caregiver wellbeing solutions. We sought to explore innovations in community paramedicine programs across Canada in response to COVID-19.MethodsWe conducted a scoping literature review of community paramedicine publications since 2020, with a focus on Canadian context, and undertook semi-structured interviews with key informants to capture innovations that may not be well represented in the literature.ResultsA total of 22 studies, combined with 26 grey literature sources were identified through the literature search. We interviewed ten stakeholders from diverse community care and community paramedicine settings across Canada to further explore each element of the conceptual framework. A conceptual framework (Figure 1) was developed to categorize the literature and findings into themes, namely: leveraging technology (e.g., virtual consultations, remote monitoring); responding to COVID-19 (e.g., mass testing and vaccination); addressing social needs (e.g., home visits, helping patients with groceries); caring for vulnerable populations (e.g., providing palliative care at home). These innovations were united in the idea of collaborating with other health care professionals and agencies, while facilitating care and case management coordination.ConclusionsThe COVID-19 pandemic has highlighted the essential collaborative care role community paramedicine programs can provide to patients in their homes or communities. Community paramedicine programs have evolved to meet the needs of their communities. These programs have demonstrated their ability to support public health measures, provide home and community-based care, and most importantly, collaborate with other health care professionals in coordinating and providing care to Canadians regardless of social circumstances.
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Elden, Odd Eirik, Oddvar Uleberg, Marianne Lysne, and Hege Selnes Haugdahl. "Community paramedicine: cost–benefit analysis and safety evaluation in paramedical emergency services in rural areas – a scoping review." BMJ Open 12, no. 6 (June 2022): e057752. http://dx.doi.org/10.1136/bmjopen-2021-057752.

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ObjectiveTo examine the current knowledge and possibly identify gaps in the knowledge base for cost–benefit analysis and safety concerning community paramedicine in rural areas.DesignScoping review.Data sourcesMEDLINE via PubMed, CINAHL, Cochrane and Embase up to December 2020.Study selectionAll English studies involving community paramedicine in rural areas, which include cost–benefit analysis or safety evaluation.Data extractionThis scoping review follows the methodology developed by Arksey and O’Malley and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. We systematically searched for all types of studies in the databases and the reference lists of key studies to identify studies for inclusion. The selection process was in two steps. First, two reviewers independently screened 2309 identified articles for title and abstracts and second performed a full-text review of 24 eligible studies for inclusion.ResultsThree articles met the inclusion criteria concerning cost–benefit analysis, two from Canada and one from USA. No articles met the inclusion criteria for safety evaluation.ConclusionThere are knowledge gaps concerning safety evaluation of community paramedicine in rural areas. Three articles were included in this scoping review concerning cost–benefit analysis, two of them showing positive cost-effectiveness with community paramedicine in rural areas.
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Iezzoni, Lisa I., Stephen C. Dorner, and Toyin Ajayi. "Community Paramedicine — Addressing Questions as Programs Expand." New England Journal of Medicine 374, no. 12 (March 24, 2016): 1107–9. http://dx.doi.org/10.1056/nejmp1516100.

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Dissertations / Theses on the topic "Community paramedicine"

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Long, David N. "Out of the silo: A qualitative study of paramedic transition to a specialist role in community paramedicine." Thesis, Queensland University of Technology, 2017. https://eprints.qut.edu.au/114997/1/114997_9249303_david_long_thesis.pdf.

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Community paramedicine is an evolving specialist stream of paramedic practice and aims to provide patients in the community with options to navigate more efficiently the healthcare system and avoid unnecessary presentations to a hospital emergency department. This study examined the transition of paramedics from a work role in traditional paramedicine to a specialist work role in community paramedicine. The unique knowledge generated by this study allows for additional targeted intervention points for paramedics to better engage in the transition process and may decrease the time frame to deploy high-quality and ready-to-work paramedics in the community.
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Lineros, Jose Victor. "An Investigation of Paramedical Vocational Interest and Choice for Men of Color in Texas Community Colleges." Thesis, University of North Texas, 2018. https://digital.library.unt.edu/ark:/67531/metadc1157579/.

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Although the recent annual growth rate in the US paramedic field has been 4%, Latino and African American men have been significantly underrepresented in the field compared to their proportion in the US population at large. This problem threatens both the quality and quantity of available emergency health care. The purpose of this study was to describe how men of color (MOC) in community college paramedical programs experienced their awareness, interest, and proactive choice of paramedicine as a course of study. Using a qualitative phenomenological approach and social cognitive career theory as a theoretical framework, I interviewed 23 MOC enrolled during one semester across three community college paramedical programs in the southwestern US: 9 Latino and 14 African American, aged 18-29 with mean age 22 years. The focus of the interviews was the participants' lived experiences at various career points, as well as the enablers and disablers they had encountered. I identified three primary themes for possible use in enhancing recruitment of MOC to the paramedic field: strategic use of new digital media, promotion of the vocation's quasi-familial characteristics, and augmentation of neighborhood-based outreach. Identified areas for further research included recruitment dynamics of female paramedics, MOC persistence issues, and MOC job satisfaction assessments.
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Books on the topic "Community paramedicine"

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Community Health Paramedicine. Jones & Bartlett Learning, LLC, 2017.

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Wilcox, Michael, American Academy of Orthopaedic Surgeons (AAOS) Staff, Al Benney, and Kai Hjermstad. Community Health Paramedicine. Jones & Bartlett Learning, LLC, 2017.

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Wilcox, Michael, American Academy of Orthopaedic Surgeons (AAOS) Staff, Al Benney, and Kai Hjermstad. Community Health Paramedicine. Jones & Bartlett Learning, LLC, 2018.

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West, Katherine. Infection Control Policies for Community Paramedicine and MIH. Fire Engineering Books & Videos, 2019.

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Book chapters on the topic "Community paramedicine"

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Warwick, Chris, and Stuart Rutland. "Collaboration and paramedicine." In Collaborative Practice in Primary and Community Care, 117–26. Routledge, 2019. http://dx.doi.org/10.4324/9780429489808-11.

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Conference papers on the topic "Community paramedicine"

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Ascher, Amanda, Hanan Cohen, Zoë Stopak-Behr, and Irene Kaufmann. "3 Planned community paramedicine visit program reduce ED visits and readmissions." In IHI Scientific Symposium, Gaylord Palms Resort & Convention Center Orlando, Florida, 9th December 2019. British Medical Journal Publishing Group, 2019. http://dx.doi.org/10.1136/bmjoq-2019-ihi.3.

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Reese, Laura Schwab, R. Paul Miller, Joshua Krumenacker, Darren Forman, Lauren Murfree, and Andrea DeMaria. "1F.004 Community paramedicine: a novel approach to preventing early life violence exposures." In Virtual Pre-Conference Global Injury Prevention Showcase 2021 – Abstract Book. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/injuryprev-2021-safety.22.

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