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Community paramedicine model of care: an observational, ethnographic case study

Citation

O'Meara, P and Stirling, C and Ruest, M and Martin, A, Community paramedicine model of care: an observational, ethnographic case study, Bmc Health Services Research, 16, (39) pp. 1-11. ISSN 1472-6963 (2016) [Refereed Article]


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Copyright Statement

© 2016 O’Meara et al. Licensed under Creative Commons Attribution 4.0 International (CC BY 4) http://creativecommons.org/licenses/by/4.0/

DOI: doi:10.1186/s12913-016-1282-0

Abstract

Background: Community paramedicine programs have emerged throughout North America and beyond in response to demographic changes and health system reform. Our aim was to identify and analyse how community paramedics create and maintain new role boundaries and identities in terms of flexibility and permeability and through this develop and frame a coherent community paramedicine model of care that distinguish the model from other innovations in paramedic service delivery.

Methods: Using an observational ethnographic case study approach, we collected data through interviews, focus groups and field observations. We then applied a combination of thematic analysis techniques and boundary theory to develop a community paramedicine model of care.

Results: A model of care that distinguishes community paramedicine from other paramedic service innovations emerged that follows the mnemonic RESPIGHT: Response to emergencies; Engaging with communities; Situated practice; Primary health care; Integration with health, aged care and social services; Governance and leadership; Higher education; Treatment and transport options.

Conclusions: Community engagement and situated practice distinguish community paramedicine models of care from other paramedicine and out-of-hospital health care models. Successful community paramedicine programs are integrated with health, aged care and social services and benefit from strong governance and paramedic leadership.

Item Details

Item Type:Refereed Article
Keywords:case study, expanded scope of practice, community paramedicine, rural health, community engagement, model of care, integration, leadership
Research Division:Medical and Health Sciences
Research Group:Public Health and Health Services
Research Field:Health and Community Services
Objective Division:Health
Objective Group:Health and Support Services
Objective Field:Health and Support Services not elsewhere classified
Author:Stirling, C (Associate Professor Christine Stirling)
ID Code:107110
Year Published:2016
Web of Science® Times Cited:3
Deposited By:Health Sciences
Deposited On:2016-03-04
Last Modified:2017-12-05
Downloads:72 View Download Statistics

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