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The core components of Community Paramedicine - integrated care in primary care setting: a scoping review.

Abstract：

BACKGROUND:Since the beginning of 2000, the primary healthcare services around the globe are challenged between demands of home care and number of staff delivering it. The delivery of healthcare needs new models to reduce the costs, patient's readmission and increase their possibilities to stay at home. Several paramedicine programmes have been developed to deliver home care as an integral part of the local healthcare system. The programmes varied in nature and the concept of Community Paramedicine (CP) has not been established, demanding clarity. The aim of this review was to identify and describe the core components of CP, and identify research gaps for the further study. METHOD:A scoping review was performed using five electronic databases: Medline; CINAHL; Academic Search Premier; PubMed and the Cochrane Library for the period 2005 - June 2018. The references of articles were checked, and papers were assessed against inclusion criteria and appraised for quality. RESULTS:From 803 initial articles, 21 met the criteria and were included. Inductive content analysis was carried out. The four core components of Community Paramedicine emerged (a) Community engagement, (b) Multi-agency collaboration, (c) Patient-centred prevention and (d) Outcomes of programme: cost-effectiveness and patients' experiences. CONCLUSION:The Community Paramedicine programmes are perceived to be promising. However, Community Paramedicine research data are lacking. Further research is required to understand whether this novel model of healthcare is reducing costs, improving health and enhancing people's experiences.

journal_name

Scand J Caring Sci

journal_title

Scandinavian journal of caring sciences

authors

Rasku T,Kaunonen M,Thyer E,Paavilainen E,Joronen K

doi

10.1111/scs.12659

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

508-521

issue

3

eissn

0283-9318

issn

1471-6712

journal_volume

33

pub_type

杂志文章

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