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Developing a culturally adapted competency framework for community paramedicine practice in Saudi Arabia
Ebrahim Abdullah Algosaibi1, Murdhi H Alanazi1, Mohammed Algabgab2
1Department of Emergency Medical Services, Price Sultan bin Abdulaziz College for Emergency Medical Services, King Saud University, 11451, Riyadh, Saudi Arabia.
Scientific Reports
|November 12, 2025
Summary
This study developed a culturally tailored competency framework for community paramedicine (CP) in Saudi Arabia. The framework enhances healthcare access by integrating clinical skills with cultural competence, addressing rural-urban disparities.
Area of Science:
- Healthcare Delivery Systems
- Medical Education
- Public Health Policy
Background:
- Community paramedicine (CP) is a global model for extending healthcare access.
- Limited evidence exists on adapting CP to Saudi Arabia's sociocultural and systemic context.
- A culturally tailored competency framework is needed to guide CP in Saudi Arabia.
Purpose of the Study:
- To develop a culturally adapted competency framework for community paramedicine (CP) in Saudi Arabia.
- To inform CP education, practice, and policy within the Saudi context.
- To address healthcare disparities and support national health transformation goals.
Main Methods:
- Qualitative design utilizing semi-structured interviews with 15 experts across Saudi Arabia.
- Thematic analysis to identify core CP competencies.
- Exploratory factor analysis (EFA) to validate interrelationships between competency domains.
Main Results:
- Identified 12 interrelated competency domains for CP, including chronic disease management, cultural competence, telemedicine, and policy.
- EFA revealed three principal axes: interpersonal/cultural, operational/clinical, and policy/research.
- The framework balances culturally embedded care, clinical readiness, and policy integration.
Conclusions:
- Presents the first comprehensive, culturally adapted CP competency framework for Saudi Arabia.
- Demonstrates how context-sensitive training can address rural-urban healthcare disparities.
- Provides strategic guidance for CP training, accreditation, and system integration to meet national health goals.
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