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The Measurement of Unsteady Surface Pressure Using a Remote Microphone Probe
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Frontier and remote paramedicine practitioner models.

Peter O'Meara1, Gary Wingrove2, Michael Nolan3

  • 1Monash University, Department of Community Emergency Health & Paramedic Practice Building H, McMahons Road Frankston, Vic, 3199 peter.omeara@monash.edu.

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|August 16, 2018
PubMed
Summary
This summary is machine-generated.

Paramedic services have evolved over 50 years. This review examines models for rural and remote areas, focusing on paramedic practitioner models to improve health and wellbeing.

Keywords:
paramedic practitionerrural health careworkforce issueshealth reform

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Area of Science:

  • Emergency Medical Services (EMS)
  • Public Health
  • Healthcare Delivery Models

Background:

  • Paramedic services in high-income countries have adapted over 50 years.
  • Evolution driven by changing community needs and expectations.
  • Focus on improving health outcomes for remote and frontier populations.

Purpose of the Study:

  • Review paramedic service delivery models.
  • Identify models suitable for rural, remote, and frontier settings.
  • Assess potential to enhance health and wellbeing in underserved areas.

Main Methods:

  • Searched CINHAL and Medline databases for relevant paramedic models.
  • Included terms: ambulance, paramedic, EMS, model*, rural, remote, frontier.
  • Synthesized findings from literature search and journal reviews.

Main Results:

  • Volunteer transport models dominated in the 1950s-60s.
  • Technological models became standard in urban/regional settings.
  • Emerging paramedic practitioner models offer integrated prehospital care and community health initiatives.

Conclusions:

  • Paramedic practitioner models show promise for integrated care.
  • Implementation in remote settings presents policy and practice challenges.
  • Key issues include scope of practice, education, regulation, and reimbursement.