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]
© 2016 O’Meara et al. Licensed under Creative Commons Attribution 4.0 International (CC BY 4) http://creativecommons.org/licenses/by/4.0/
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 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 Group:||Health and Support Services|
|Objective Field:||Health and Support Services not elsewhere classified|
|Author:||Stirling, C (Associate Professor Christine Stirling)|
|Web of Science® Times Cited:||4|
|Deposited By:||Health Sciences|
|Downloads:||101 View Download Statistics|
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