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Paramedic-delivered teleconsultations: a grounded theory study.

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Paramedics see benefits in peer-to-peer teleconsultations, offering advantages over physician-led models. This approach enhances paramedic ownership and professional development in out-of-hospital care.

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Area of Science:

  • Emergency medicine
  • Healthcare professional roles
  • Telehealth

Background:

  • Anglo-American out-of-hospital care models are evolving.
  • Advanced paramedics are taking on new roles, including teleconsultations.
  • Paramedic perceptions of peer-to-peer teleconsultations are largely unknown.

Purpose of the Study:

  • To explore paramedic perceptions of paramedic-delivered teleconsultations.
  • To understand the benefits and challenges of this emerging model of care.

Main Methods:

  • Constructivist grounded theory methodology.
  • Six focus groups conducted with 33 paramedics in British Columbia, Canada.
  • Data analyzed using open coding and continual comparative analysis.

Main Results:

  • Seven key themes emerged: roles of specialists, influence of relationships/culture, practicalities of care, clinical advice, trust/respect, mentorship, and governance/education.
  • Paramedics reported benefits of paramedic-delivered teleconsultations over physician-delivered models.
  • A grounded theory of 'paramedics increasing ownership of their profession' was developed.

Conclusions:

  • Paramedic-delivered teleconsultations offer unique benefits within emergency health systems.
  • Healthcare systems should consider implementing paramedic-led teleconsultation models.
  • This model supports professional growth and increased ownership among paramedics.