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Expanding Paramedicine in the Community (EPIC): study protocol for a randomized controlled trial
Ian R Drennan1, Katie N Dainty, Paul Hoogeveen
1Rescu, Li Ka Shing Knowledge Institute, St, Michael's Hospital, 30 Bond St, Toronto, ON M5B 1W8, Canada. DrennanI@smh.ca.
Trials
|December 4, 2014
Summary
Community paramedics providing home visits can reduce hospitalizations for chronic diseases like diabetes, heart failure, and COPD. This intervention aims to decrease acute care use and improve patient outcomes.
Area of Science:
- Paramedic Practice
- Community Health
- Chronic Disease Management
Background:
- Rising incidence of chronic diseases (diabetes mellitus, heart failure, COPD) strains healthcare resources.
- Existing healthcare systems require evolution to manage growing chronic disease patient needs.
- Paramedics, as allied health professionals, can extend care into the community setting.
Purpose of the Study:
- To evaluate a community paramedic intervention's effectiveness in reducing hospitalizations and emergency department use.
- To determine if regular home visits by paramedics improve outcomes for patients with DM, HF, and COPD.
- To assess the cost-effectiveness of community paramedic programs.
Main Methods:
- Pragmatic, randomized controlled trial comparing community paramedic intervention to standard care.
- Intervention involves paramedics conducting home visits with health assessments and evidence-based treatments.
- Primary outcome: hospitalization rate at one year. Secondary outcomes: healthcare utilization, health status, cost-effectiveness.
Main Results:
- Study results will inform the implementation of community paramedic programs.
- Successful prevention of hospitalizations could lead to scalable program expansion.
- Methods will provide a foundation for future research in this area.
Conclusions:
- Community paramedic programs show potential to decrease acute care utilization.
- This intervention could alleviate strain on hospital-based healthcare resources.
- Findings will guide national and international adoption of community paramedic models.
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