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Integrating community paramedicine with primary health care: a qualitative study of community paramedic views

BACKGROUND: Community paramedicine (CP) is an emerging model of care that addresses local health needs through programs led by community paramedics; however, CP remains poorly defined and appears to lack systematic integration with the broader health system, specifically primary care, within which i...

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Autores principales: Agarwal, Gina, Keenan, Amelia, Pirrie, Melissa, Marzanek-Lefebvre, Francine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: CMA Impact Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9022935/
https://www.ncbi.nlm.nih.gov/pubmed/35440482
http://dx.doi.org/10.9778/cmajo.20210179
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author Agarwal, Gina
Keenan, Amelia
Pirrie, Melissa
Marzanek-Lefebvre, Francine
author_facet Agarwal, Gina
Keenan, Amelia
Pirrie, Melissa
Marzanek-Lefebvre, Francine
author_sort Agarwal, Gina
collection PubMed
description BACKGROUND: Community paramedicine (CP) is an emerging model of care that addresses local health needs through programs led by community paramedics; however, CP remains poorly defined and appears to lack systematic integration with the broader health system, specifically primary care, within which it is seated. The purpose of the study was to elucidate the views of community paramedics and their stakeholders in Ontario, Canada, on the topic of integrating CP with the broader health system. METHODS: This was a retrospective qualitative analysis of a public recording of a CP provincial forum held in Ontario, Canada, in 2017. Forum attendees (paramedics and stakeholders) were invited by email if they had attended a similar provincial forum in the past (no exclusion criteria for attendance). In small- and large-group discussions, attendees discussed their views on how CP could fit into primary care and what medical oversight and acceptance for the profession could involve. A recording of the large-group discussion, which is publicly available, was transcribed and thematically analyzed. RESULTS: The 89 participants varied in professional affiliation (66% from a paramedic service, n = 59). Among those from paramedic services, 33% were community paramedics (n = 14). Five major themes emerged: defining the role of community paramedics, how CP may integrate with other services, how to garner support for CP, where standardization is needed and possible oversight structures. INTERPRETATION: Community paramedics and their stakeholders have insights into barriers and facilitators for integration with the health system. These study findings could help inform the integration of health and social services in Ontario with a consideration for the unique position and potential of community paramedics.
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spelling pubmed-90229352022-04-22 Integrating community paramedicine with primary health care: a qualitative study of community paramedic views Agarwal, Gina Keenan, Amelia Pirrie, Melissa Marzanek-Lefebvre, Francine CMAJ Open Research BACKGROUND: Community paramedicine (CP) is an emerging model of care that addresses local health needs through programs led by community paramedics; however, CP remains poorly defined and appears to lack systematic integration with the broader health system, specifically primary care, within which it is seated. The purpose of the study was to elucidate the views of community paramedics and their stakeholders in Ontario, Canada, on the topic of integrating CP with the broader health system. METHODS: This was a retrospective qualitative analysis of a public recording of a CP provincial forum held in Ontario, Canada, in 2017. Forum attendees (paramedics and stakeholders) were invited by email if they had attended a similar provincial forum in the past (no exclusion criteria for attendance). In small- and large-group discussions, attendees discussed their views on how CP could fit into primary care and what medical oversight and acceptance for the profession could involve. A recording of the large-group discussion, which is publicly available, was transcribed and thematically analyzed. RESULTS: The 89 participants varied in professional affiliation (66% from a paramedic service, n = 59). Among those from paramedic services, 33% were community paramedics (n = 14). Five major themes emerged: defining the role of community paramedics, how CP may integrate with other services, how to garner support for CP, where standardization is needed and possible oversight structures. INTERPRETATION: Community paramedics and their stakeholders have insights into barriers and facilitators for integration with the health system. These study findings could help inform the integration of health and social services in Ontario with a consideration for the unique position and potential of community paramedics. CMA Impact Inc. 2022-04-19 /pmc/articles/PMC9022935/ /pubmed/35440482 http://dx.doi.org/10.9778/cmajo.20210179 Text en © 2022 CMA Impact Inc. or its licensors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY-NC-ND 4.0) licence, which permits use, distribution and reproduction in any medium, provided that the original publication is properly cited, the use is noncommercial (i.e., research or educational use), and no modifications or adaptations are made. See: https://creativecommons.org/licenses/by-nc-nd/4.0/
spellingShingle Research
Agarwal, Gina
Keenan, Amelia
Pirrie, Melissa
Marzanek-Lefebvre, Francine
Integrating community paramedicine with primary health care: a qualitative study of community paramedic views
title Integrating community paramedicine with primary health care: a qualitative study of community paramedic views
title_full Integrating community paramedicine with primary health care: a qualitative study of community paramedic views
title_fullStr Integrating community paramedicine with primary health care: a qualitative study of community paramedic views
title_full_unstemmed Integrating community paramedicine with primary health care: a qualitative study of community paramedic views
title_short Integrating community paramedicine with primary health care: a qualitative study of community paramedic views
title_sort integrating community paramedicine with primary health care: a qualitative study of community paramedic views
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9022935/
https://www.ncbi.nlm.nih.gov/pubmed/35440482
http://dx.doi.org/10.9778/cmajo.20210179
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