Abstract：
BACKGROUND:Community paramedicine programs have emerged throughout North America and beyond in response to demographic changes and health system reform. Our aim was to identify and analyse how community paramedics create and maintain new role boundaries and identities in terms of flexibility and permeability and through this develop and frame a coherent community paramedicine model of care that distinguish the model from other innovations in paramedic service delivery. METHODS:Using an observational ethnographic case study approach, we collected data through interviews, focus groups and field observations. We then applied a combination of thematic analysis techniques and boundary theory to develop a community paramedicine model of care. RESULTS:A model of care that distinguishes community paramedicine from other paramedic service innovations emerged that follows the mnemonic RESPIGHT: Response to emergencies; Engaging with communities; Situated practice; Primary health care; Integration with health, aged care and social services; Governance and leadership; Higher education; Treatment and transport options. CONCLUSIONS:Community engagement and situated practice distinguish community paramedicine models of care from other paramedicine and out-of-hospital health care models. Successful community paramedicine programs are integrated with health, aged care and social services and benefit from strong governance and paramedic leadership.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
O'Meara P,Stirling C,Ruest M,Martin Adoi
10.1186/s12913-016-1282-0subject
Has Abstractpub_date
2016-02-02 00:00:00pages
39issn
1472-6963pii
10.1186/s12913-016-1282-0journal_volume
16pub_type
杂志文章abstract：BACKGROUND:Recently, New Zealand has taken a system wide approach providing the biggest reform to New Zealand community pharmacy for 70 years with the aim of providing more clinically orientated patient centred services through a new funding model. The aim of this study was to understand the types of services offered i...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-018-3120-z
更新日期：2018-05-02 00:00:00
abstract：BACKGROUND:The introduction of non-VKA oral anticoagulants (NOACs) has changed the landscape of preventing thromboembolism events in many countries. However, the prescription trends of oral anticoagulant (OAC) in China are still unclear, which were evaluated in this study through data extracted and summarized from 5 ma...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-020-5072-3
更新日期：2020-03-12 00:00:00
abstract：BACKGROUND:Healthcare systems are increasingly focusing on outcomes that are the endpoints of care: patient health status and patient satisfaction. The availability of patient satisfaction (PS) data has encouraged research on its relationship with other outcomes, such as mortality. In Italy, an inter-regional performan...
journal_title：BMC health services research
pub_type： 杂志文章,多中心研究
doi：10.1186/s12913-018-2846-y
更新日期：2018-01-29 00:00:00
abstract：BACKGROUND:Aboriginal Australians suffer from poorer overall health compared to the general Australian population, particularly in terms of cardiovascular disease and prognosis following a cardiac event. Despite such disparities, Aboriginal Australians utilise health care services at much lower rates than the general p...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-13-83
更新日期：2013-03-06 00:00:00
abstract：BACKGROUND:Medical devices and in vitro diagnostic tests (IVD) are vital components of health delivery systems but access to these important tools is often limited in Africa. The regulation of health commodities by National Regulatory Authorities is intended to ensure their safety and quality whilst ensuring timely acc...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-014-0524-2
更新日期：2014-10-31 00:00:00
abstract：BACKGROUND:Proton pump inhibitors (PPIs) remain one of the world's most frequently prescribed medications and there is a growing number of publications on correct versus incorrect use of PPIs worldwide. The objective of this observational retrospective study was to assess changes in PPI prescribing trends over the past...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-018-3358-5
更新日期：2018-07-11 00:00:00
abstract：BACKGROUND:We investigate factors affecting Australian general practitioners' decisions to adopt novel oral anticoagulants (NOACs) for the prevention of stroke/systemic embolism among patients with atrial fibrillation. Australia has a national homogeneous review and coverage system, which enables us to distinguish phys...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-019-3889-4
更新日期：2019-02-07 00:00:00
abstract：BACKGROUND:In Brazil, health is fundamental human right guaranteed by the Constitution of 1988, which created the Brazilian Universal Health System (Sistema Único de Saúde - SUS). The SUS provides medications for outpatient care via policy of pharmaceutical assistance (PA) programmes. Despite the advances in PA policie...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-017-2430-x
更新日期：2017-07-19 00:00:00
abstract：BACKGROUND:Cancer is the leading cause of death in the United States, with the burden expected to rise in the coming decades, increasing the need for effective cancer prevention and screening options. The United States Preventive Services Task Force has suggested that a shared decision-making process be used when clini...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-019-4872-9
更新日期：2019-12-30 00:00:00
abstract：BACKGROUND:The number of requests to pre-hospital emergency medical services (PEMS) has increased in Europe over the last 20 years, but epidemiology of PEMS interventions has little be investigated. The aim of this analysis was to describe time trends of PEMS activity in a region of western Switzerland. METHODS:Use of...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-14-380
更新日期：2014-09-10 00:00:00
abstract：BACKGROUND:Patients with type 2 diabetes (T2DM) often have poor glycemic control on first-line pharmacologic therapy and require treatment intensification. Intensification decisions can be difficult because of many available options and their many benefits and risks. The American Diabetes Association recommends patient...
journal_title：BMC health services research
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1186/s12913-016-1262-4
更新日期：2016-01-14 00:00:00
abstract：BACKGROUND:Medicine access is an important goal of medicine policy; however the evaluation of medicine access is a subject under conceptual and methodological development. The aim of this study was to describe quantitative methodologies to measure medicine access on household level, access expressed as paid or unpaid m...
journal_title：BMC health services research
pub_type： 杂志文章,评审
doi：10.1186/1472-6963-10-146
更新日期：2010-05-30 00:00:00
abstract：BACKGROUND:Recognition of the importance of the early years in determining health and educational attainment and promotion of the World Health Organization Health for All (HFA) principles has led to an international trend towards community-based initiatives to improve developmental outcomes among socio-economically dis...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-9-53
更新日期：2009-03-25 00:00:00
abstract：BACKGROUND:Clinical networks have been established to improve patient outcomes and processes of care by implementing a range of innovations and undertaking projects based on the needs of local health services. Given the significant investment in clinical networks internationally, it is important to assess their effecti...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-015-1096-5
更新日期：2015-11-05 00:00:00
abstract：BACKGROUND:Indigenous peoples in Australia, New Zealand and Canada carry a greater burden of chronic kidney disease (CKD) than the general populations in each country, and this burden is predicted to increase. Given the human and economic cost of dialysis, understanding how to better manage CKD at earlier stages of dis...
journal_title：BMC health services research
pub_type： 杂志文章,评审
doi：10.1186/s12913-016-1363-0
更新日期：2016-04-06 00:00:00
abstract：BACKGROUND:The GRADE method represents a new approach to grading the quality of evidence and strength of recommendations in the preparation of Clinical Practice Guidelines (CPG). In the context of a pilot study to assess the implementability of the system in Spain, we considered it relevant to gain an insight into the ...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-6-138
更新日期：2006-10-23 00:00:00
abstract：BACKGROUND:Like much of the developed world, healthcare costs in Canada are rising. A small proportion of patients account for a large proportion of healthcare spending and much of this spending occurs in acute care settings. The purpose of our study was to determine potentially modifiable factors related to care proce...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-017-2746-6
更新日期：2017-11-25 00:00:00
abstract：BACKGROUND:Quality Improvement Interventions require significant financial investments, and therefore demand careful consideration in their design in order to maximize potential benefits. In this correspondence we present the methodological approach of a multifaceted quality improvement intervention aiming to improve q...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-8-181
更新日期：2008-08-27 00:00:00
abstract：BACKGROUND:In the past two decades, the number of maternity hospitals in Finland has been reduced from 42 to 22. Notwithstanding the benefits of centralization for larger units in terms of increased safety, the closures will inevitably impair geographical accessibility of services. METHODS:This study aimed to employ a...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-020-05222-5
更新日期：2020-04-21 00:00:00
abstract：BACKGROUND:Accurate TNM stage information is essential for cancer health services research, but is often impractical and expensive to collect at the population-level. We evaluated algorithms using administrative healthcare data to identify patients with metastatic gastric cancer. METHODS:A population-based cohort of g...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-018-3125-7
更新日期：2018-05-02 00:00:00
abstract：BACKGROUND:A research project, which aims to improve the situation of children of parents with a mental illness (COPMI) is currently underway in the Austrian region of Tyrol. The project aims to strengthen formal and informal support structures around the child, through enhancing their village of collaborative support....
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-020-05184-8
更新日期：2020-04-19 00:00:00
abstract：BACKGROUND:Work stress is a major problem for nurses and it can negatively influence job performance. Therefore, it is critical to explore variables that can reduce or buffer the negative effects of work stress. This study explores the moderating effects of coping strategies on the relationship between work stress and ...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-017-2348-3
更新日期：2017-06-12 00:00:00
abstract：BACKGROUND:Osteoporosis has significant impact on healthcare costs and quality of life. Amongst the models for collaborative disease state management services published internationally, there is sparse evidence regarding the role of community pharmacists in the provision of osteoporosis care. Hence, the aim of our stud...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-016-1686-x
更新日期：2016-08-30 00:00:00
abstract：BACKGROUND:Massive efforts in Canada have been made to renew primary healthcare. However, although early evaluations of initiatives and research on certain aspects of the reform are promising, none have examined the link between patient assessments of care and health outcomes or the impacts at a population level. The g...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-10-258
更新日期：2010-09-03 00:00:00
abstract：BACKGROUND:Studies on the effect of organizational factors on the involuntary admission of psychiatric patients have been few and yielded inconclusive results. The objective was to examine the importance of type of service-system, level of care, length of inpatient stay, gender, age, and diagnosis on rates of involunta...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-14-64
更新日期：2014-02-10 00:00:00
abstract：BACKGROUND:South Africa's antiretroviral programme is governed by defined national plans, establishing treatment targets and providing funding through ring-fenced conditional grants. However, in terms of the country's quasi-federal constitution, provincial governments bear the main responsibility for provision of healt...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-10-S1-S4
更新日期：2010-07-02 00:00:00
abstract：BACKGROUND:Due to rising health care costs, in 2012 Switzerland introduced SwissDRG, a reimbursement system for hospitals based on lump sum per case. To circumvent possible negative consequences like reduction in length of stay, acute and transitional care (ATC) was anchored into the law (Federal act on health insuranc...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-020-05547-1
更新日期：2020-08-03 00:00:00
abstract：BACKGROUND:Payers and policy makers across the international healthcare market are increasingly using publicly available summary measures to designate providers as "high-performing", but no consistently-applied approach exists to identifying high performers. This paper uses publicly available data to examine how differ...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-019-4293-9
更新日期：2019-07-18 00:00:00
abstract：BACKGROUND:The NHS Diabetes Prevention Programme (NHS-DPP) is a nine-month, group-based behavioural intervention for adults in England at risk of developing Type 2 diabetes. Four independent providers were commissioned to deliver versions of the NHS-DPP, in line with NHS England specifications. This observational study...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-020-05951-7
更新日期：2020-11-27 00:00:00
abstract：BACKGROUND:Family-centered care (FCC), based on collaborative participation of the family along with a team of health care providers, is found to increase the well-being of sick infants in neonatal critical care units. Over the last 4 years, the neonatal unit of Dr. Ram Manohar Lohia Hospital in Delhi has innovated and...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-019-4017-1
更新日期：2019-03-21 00:00:00
