The development of community paramedicine; a restricted review

Datos Bibliográficos

ID14948151
AutoresBrendan Shannon (0000-0002-1957-2311, Department of Paramedicine Monash University Frankston Victoria Australia, autor de correspondencia), Georgette Eaton (0000-0001-9421-2845, Nuffield Department of Primary Care Health Sciences University of Oxford Oxford UK), Chelsea Lanos (0000-0003-4909-1305, County of Renfrew Paramedic Service Pembroke Canada), Matthew Leyenaar (0000-0002-1151-9479, Department of Health and Wellness, Emergency Health Services Government of Prince Edward Island Prince Edward Island Canada), Mike Nolan (County of Renfrew Paramedic Service Pembroke Canada), Kelly‐Ann Bowles (0000-0002-5965-5971, Department of Paramedicine Monash University Frankston Victoria Australia), Brett Williams (0000-0002-1836-0755, Department of Paramedicine Monash University Frankston Victoria Australia), Peter O’meara (0000-0001-8657-5646, Department of Paramedicine Monash University Frankston Victoria Australia), Gary Wingrove (0000-0002-5241-3507, International Roundtable on Community Paramedicine Duluth MN USA), JD Heffern (Indigenous Services Canada, Government of Canada Ottawa Ontario Canada), Alan M Batt (0000-0001-6473-5397, Department of Paramedicine Monash University Frankston Victoria Australia)
Año2022
Volumen30
Número6
Páginase3547-e3561
Fecha de publicación2022-11-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaHealth & Social Care in the Community (JOURNAL)
Identificadores de la revistaISSN: 0966-0410 • E-ISSN: 1365-2524
EditorialWiley (PUBLISHER • GB)
DOI10.1111/hsc.13985
PMID36065522
OpenAlexW4294752510
IdiomaEN
Citas recibidas3
Referencias citadas82

Community paramedic roles are expanding internationally, and no review of the literature could be found to guide services in the formation of community paramedicine programmes. For this reason, the aim of this restricted review was to explore and better understand the successes and learnings of community paramedic programmes across five domains being; education requirements, models of delivery, clinical governance and supervision, scope of roles and outcomes. This restricted review was conducted by searching four databases (CENTRAL, ERIC, EMBASE, MEDLINE and Google Scholar) as well as grey literature search from 2001 until 28/12/2021. After screening, 98 articles were included in the narrative synthesis. Most studies were from the USA (n = 37), followed by Canada (n = 29). Most studies reported on outcomes of community paramedicine programmes (n = 50), followed by models of delivery (n = 28). The findings of this review demonstrate a lack of research and understanding in the areas of education and scope of the role for community paramedics. The findings highlight a need to develop common approaches to education and scope of role while maintaining flexibility in addressing community needs. There was an observable lack of standardisation in the implementation of governance and supervision models, which may prevent community paramedicine from realising its full potential. The outcome measures reported show that there is evidence to support the implementation of community paramedicine into healthcare system design. Community paramedicine programmes result in a net reduction in acute healthcare utilisation, appear to be economically viable and result in positive patient outcomes with high patient satisfaction with care. There is a developing pool of evidence to many aspects of community paramedicine programmes. However, at this time, gaps in the literature prevent a definitive recommendation on the impact of community paramedicine programmes on healthcare system functionality

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