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Community Paramedics' Perception of Frequent ED Users and the Community Paramedicine Program: A Mixed-Methods Study
Journal of Health Care for the Poor and Underserved
|January 8, 2021
Summary
Community paramedicine (CP) programs leverage emergency medical services (EMS) to improve healthcare access. Paramedics view CP patients sympathetically, identify ED overuse factors, and offer suggestions for program enhancement.
Area of Science:
- Public Health
- Emergency Medicine
- Healthcare Delivery Models
Background:
- Community paramedicine (CP) integrates emergency medical services (EMS) with primary care and social services.
- Published research on CP programs in the U.S. remains limited.
- Understanding paramedic perspectives is crucial for CP program development.
Purpose of the Study:
- To explore community paramedics' perceptions of CP programs and patients.
- To identify factors contributing to emergency department (ED) overuse.
- To gather recommendations for improving CP program effectiveness.
Main Methods:
- Qualitative study involving surveys and interviews.
- 16 community paramedics (10 male, 6 female) currently in CP programs participated.
- Thematic analysis of paramedic feedback.
Main Results:
- Paramedics described CP patients with empathy.
- Identified patient and systemic factors driving unnecessary ED visits.
- Expressed both frustrations and positive feedback regarding CP programs.
- Generated actionable suggestions for CP program improvement.
Conclusions:
- Paramedic insights reveal barriers to healthcare access in underserved communities.
- CP programs offer a valuable model for integrated care.
- Further qualitative research on established CP programs is recommended.
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