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Designing and Governing Responsive Local Care Systems – Insights from a Scoping Review of Paramedics in Integrated Models of Care Cover

Designing and Governing Responsive Local Care Systems – Insights from a Scoping Review of Paramedics in Integrated Models of Care

Open Access
|Apr 2022

References

  1. Gröne O, Garcia-Barbero M. Integrated care: A position paper of the WHO European office for integrated health care services. International Journal of Integrated Care. 2001; 1: e21. DOI: 10.5334/ijic.28
  2. National Health Service. Designing integrated care systems (ICSs) in England: An overview on the arrangements needed to build strong health and care systems across the country; 2019.
  3. Ahgren B, Axelsson R. A decade of integration and collaboration: the development of integrated health care in Sweden 2000–2010. International Journal of Integrated Care. 2011; 11. DOI: 10.5334/ijic.566
  4. Valentijn PP, Boesveld IC, van der Klauw DM, Ruwaard D, Struijs JN, Molema JJW, et al. Towards a taxonomy for integrated care: A mixed-methods study. International Journal of Integrated Care. 2015; 15: 118. DOI: 10.5334/ijic.1513
  5. MacAdam M. Frameworks of Integrated Care for the Elderly: A Systematic Review; 2008.
  6. Sandhu S, Xu J, Blanchard L, Eisenson H, Crowder C, Munoz VS, et al. A Community Resource Navigator Model: Utilizing Student Volunteers to Integrate Health and Social Care in a Community Health Center Setting. International Journal of Integrated Care. 2021; 21. DOI: 10.5334/ijic.5501
  7. Purdy S, Huntley A. Predicting and preventing avoidable hospital admissions: a review. Journal of the Royal College of Physicians of Edinburgh. 2013; 43: 3404. DOI: 10.4997/JRCPE.2013.415
  8. Lillebo B, Dyrstad B, Grimsmo A. Avoidable emergency admissions? Emergency Medicine Journal. 2013; 30: 70711. DOI: 10.1136/emermed-2012-201630
  9. Armitage GD, Suter E, Oelke ND, Adair CE. Health systems integration: state of the evidence. International Journal of Integrated Care. 2009; 9. DOI: 10.5334/ijic.316
  10. Baxter S, Johnson M, Chambers D, Sutton A, Goyder E, Booth A. The effects of integrated care: a systematic review of UK and international evidence. BMC Health Services Research. 2018; 18: 350. DOI: 10.1186/s12913-018-3161-3
  11. Tsasis P, Evans JM, Owen S. Reframing the challenges to integrated care: a complex-adaptive systems perspective. International Journal of Integrated Care. 2012; 12. DOI: 10.5334/ijic.843
  12. Kodner DL, Spreeuwenberg C. Integrated care: meaning, logic, applications, and implications – a discussion paper. International Journal of Integrated Care. 2002; 2: e12. DOI: 10.5334/ijic.67
  13. McMenamin A, Mannion R. Integrated Health Workforce Planning: The Key Enabler for Delivery of Integrated Care? International Journal of Integrated Care. 2017; 17: 278. DOI: 10.5334/ijic.3591
  14. Harpley S. The Future Health Workforce: Enabling the delivery of integrated care. International Journal of Integrated Care. 2021; 20: 164. DOI: 10.5334/ijic.s4164
  15. Gordon D, McKay S, Marchildon G, Bhatia RS, Shaw J. Collaborative Governance for Integrated Care: Insights from a Policy Stakeholder Dialogue. International Journal of Integrated Care. 2020; 20. DOI: 10.5334/ijic.4684
  16. Pianori D, Adja KYC, Lenzi J, Pieri G, Rossi A, Reno C, et al. The Contribution of Case Mix, Skill Mix and Care Processes to the Outcomes of Community Hospitals: A Population-Based Observational Study. International Journal of Integrated Care. 2021; 21: 25. DOI: 10.5334/ijic.5566
  17. Kodner D. All Together Now: A Conceptual Exploration of Integrated Care. Healthcare Quarterly. 2009; 13: 615. DOI: 10.12927/hcq.2009.21091
  18. Kaehne A. The Building Blocks of Integrated Care. International Journal of Integrated Care. 2016; 16: 12. DOI: 10.5334/ijic.2527
  19. Glasby J. If Integration Is the Answer, What Was the Question? What next for English Health and Social Care Partnerships? International Journal of Integrated Care. 2016; 16: 13. DOI: 10.5334/ijic.2535
  20. Bigham BL, Kennedy SM, Drennan I, Morrison LJ. Expanding paramedic scope of practice in the community: a systematic review of the literature. Prehospital Emergency Care: Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors. 2013; 17: 36172. DOI: 10.3109/10903127.2013.792890
  21. Tavares W, Allana A, Beaune L, Weiss D, Blanchard I. Principles to guide the future of paramedicine in Canada. Prehospital Emergency Care. 2021; 116. DOI: 10.1080/10903127.2021.1965680
  22. Shah MN. The formation of the emergency medical services system. American Journal of Public Health. 2006; 96: 41423. DOI: 10.2105/AJPH.2004.048793
  23. Carter AJE, Arab M, Harrison M, Goldstein J, Stewart B, Lecours M, et al. Paramedics providing palliative care at home: A mixed-methods exploration of patient and family satisfaction and paramedic comfort and confidence. CJEM. 2019; 21: 51322. DOI: 10.1017/cem.2018.497
  24. Dainty KN, Seaton MB, Drennan IR, Morrison LJ. Home Visit-Based Community Paramedicine and Its Potential Role in Improving Patient-Centered Primary Care: A Grounded Theory Study and Framework. Health Services Research. 2018; 53: 345570. DOI: 10.1111/1475-6773.12855
  25. Agarwal G, Angeles R, Pirrie M, McLeod B, Marzanek F, Parascandalo J, et al. Evaluation of a community paramedicine health promotion and lifestyle risk assessment program for older adults who live in social housing: a cluster randomized trial. CMAJ: Canadian Medical Association Journal = Journal de l’Association Medicale Canadienne. 2018; 190: E63847. DOI: 10.1503/cmaj.170740
  26. Rasku T, Kaunonen M, Thyer E, Paavilainen E, Joronen K. The core components of Community Paramedicine – integrated care in primary care setting: a scoping review. Scandinavian Journal of Caring Sciences; 2019. DOI: 10.1111/scs.12659
  27. McCann L, Granter E, Hyde P, Hassard J. Still Blue-Collar after all these Years? An Ethnography of the Professionalization of Emergency Ambulance Work. Journal of Management Studies. 2013; 50: 75076. DOI: 10.1111/joms.12009
  28. Brydges M, Spearen C, Birze A, Tavares W. A Culture in Transition: Paramedic Experiences with Community Referral Programs. Canadian Journal of Emergency Medicine. 2015; 17: 6318. DOI: 10.1017/cem.2015.6
  29. Neiman GS, Hertelendy AJ. Regulatory impediments to the implementation of a community paramedicine programme in Virginia. Journal of Paramedic Practice. 2016; 8: 45862. DOI: 10.12968/jpar.2016.8.9.458
  30. Moritz D. The Regulatory Evolution of Paramedic Practice in Australia. J Law Med. 2018; 25: 76581.
  31. Munjal KG, Margolis GS, Kellermann AL. Realignment of EMS Reimbursement Policy: New Hope for Patient-Centered Out-of-Hospital Care. JAMA; 2019. DOI: 10.1001/jama.2019.7488
  32. Huang YH, Ma L, Sabljak LA, Puhala ZA. Development of sustainable community paramedicine programmes: A case study in Pennsylvania. Emergency Medicine Journal. 2018; 35. DOI: 10.1136/emermed-2017-207211
  33. Munjal KG, Margolis GS, Kellermann AL. Realignment of EMS Reimbursement Policy: New Hope for Patient-Centered Out-of-Hospital Care. JAMA – Journal of the American Medical Association. 2019; 322: 3034. DOI: 10.1001/jama.2019.7488
  34. Leyenaar MS, Strum R, Haque M, Nolan M, Sinha SK. Report on the Status of Community Paramedicine in Ontario. Ontario Community Paramedicine Secretariat Steering Commitee; 2019.
  35. Chan J, Griffith LE, Costa AP, Leyenaar MS, Agarwal G. Community paramedicine: A systematic review of program descriptions and training. Canadian Journal of Emergency Medicine. 2019; 21: 74961. DOI: 10.1017/cem.2019.14
  36. Arksey H, O’Malley L. Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology: Theory and Practice. 2005; 8: 1932. DOI: 10.1080/1364557032000119616
  37. Levac D, Colquhoun H, O’Brien KK. Scoping studies: advancing the methodology. Implementation Science. 2010; 5: 69. DOI: 10.1186/1748-5908-5-69
  38. Peters MDJ, Godfrey CM, Khalil H, McInerney P, Parker D, Soares CB. Guidance for conducting systematic scoping reviews. International Journal of Evidence-Based Healthcare. 2015; 13: 1416. DOI: 10.1097/XEB.0000000000000050
  39. Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine. 2018; 169: 46773. DOI: 10.7326/M18-0850
  40. Allana A. Paramedics and emergency medical services in models of integrated care: Protocol for a scoping review. OSF Registries; 2020. DOI: 10.17605/OSF.IO/WD7CZ
  41. Valentijn PP, Schepman SM, Opheij W, Bruijnzeels MA. Understanding integrated care: a comprehensive conceptual framework based on the integrative functions of primary care. International Journal of Integrated Care. 2013; 13. DOI: 10.5334/ijic.886
  42. Bowen GA. Grounded Theory and Sensitizing Concepts. International Journal of Qualitative Methods. 2006; 5. DOI: 10.1177/160940690600500304
  43. Chan J, Griffith LE, Costa AP, Leyenaar MS, Agarwal G. Community paramedicine: A systematic review of program descriptions and training. Canadian Medical Association Journal. 2019; 113. DOI: 10.1017/cem.2019.14
  44. OECD. OECD Interactive Tool: International Comparisons — Peer countries, Canada n.d. https://www.cihi.ca/en/oecd-interactive-tool-peer-countries-can (accessed February 14, 2020).
  45. Williams B, Beovich B, Olaussen A. The Definition of Paramedicine: An International Delphi Study. Journal of Multidisciplinary Healthcare. 2021; 14: 356170. DOI: 10.2147/JMDH.S347811
  46. McHugh M. Interrater reliability: the kappa statistic. Biochem Med. 2012; 22: 27682. DOI: 10.11613/BM.2012.031
  47. Creswell JW, Poth CN. Qualitative Inquiry and Research Design: Choosing Among Five Approaches. SAGE Publications Inc; 2017.
  48. Elo S, Kyngäs H. The qualitative content analysis process. Journal of Advanced Nursing. 2008; 62: 10715. DOI: 10.1111/j.1365-2648.2007.04569.x
  49. Vaismoradi M, Turunen H, Bondas T. Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study. Nursing & Health Sciences. 2013; 15: 398405. DOI: 10.1111/nhs.12048
  50. Watson S. Initial Training and Continuing Education for Community Paramedics. Journal of Emergency Medical Services; 2015.
  51. Shah MN, Hollander MM, Jones CMC, Caprio TV, Conwell Y, Cushman JT, et al. Improving the ED-to-Home Transition: The Community Paramedic-Delivered Care Transitions Intervention – Preliminary Findings. 2019; 66: 221320. DOI: 10.1111/jgs.15475
  52. Boykin A, Wright D, Stevens L, Gardner L. Interprofessional care collaboration for patients with heart failure. American Journal of Health-System Pharmacy. 2018; 75: e459. DOI: 10.2146/ajhp160318
  53. Erich J. Chicago CHF Trial: So Far, So Good for MIH Approach. EMS World; 2013.
  54. County M, District H, Paramedicine C, Sees P, Success E. Montgomery County (Texas) Hospital District’s Community Paramedicine Program Sees Early Success. 2020; 40: 112.
  55. Tangherlini N, Villar J, Brown J, Rodriguez RM, Yeh C, Friedman BT, et al. The HOME Team: Evaluating the Effect of an EMS-based Outreach Team to Decrease the Frequency of 911 Use among High Utilizers of EMS. Prehospital and Disaster Medicine. 2016; 31: 6037. DOI: 10.1017/S1049023X16000790
  56. Nejtek VA, Aryal S, Talari D, Wang H, O’Neill L. A pilot mobile integrated healthcare program for frequent utilizers of emergency department services. American Journal of Emergency Medicine. 2017; 35: 17025. DOI: 10.1016/j.ajem.2017.04.061
  57. Faddy SC, McLaughlin KJ, Cox PT, Muthuswamy SS. The mental health acute assessment team: A collaborative approach to treating mental health patients in the community. Australasian Psychiatry. 2017; 25: 2625. DOI: 10.1177/1039856216689655
  58. Bronsky S, Johnson R, Giordano K. Mobile Integrated Healthcare Program Changing How EMS Responds to Behavioral Health Crises. Journal of Emergency Medical Services. 2016; 41.
  59. Mackey KE, Qiu C. Can Mobile Integrated Health Care Paramedics Safely Conduct Medical Clearance of Behavioral Health Patients in a Pilot Project? A Report of the First 1000 Consecutive Encounters. Prehospital Emergency Care. 2019; 23: 2231. DOI: 10.1080/10903127.2018.1482390
  60. Mitchell G. New nurse and paramedic mental health team set to cut admissions. Nursing Times. 2018; 114: 61.
  61. Le May MR, Wells GA, So DY, Glover CA, Froeschl M, Maloney J, et al. Reduction in mortality as a result of direct transport from the field to a receiving center for primary percutaneous coronary intervention. Journal of the American College of Cardiology. 2012; 60: 122330. DOI: 10.1016/j.jacc.2012.07.008
  62. Young J, McLellan B, Escaf M, Dzavik V, Michaud S, Newton J, et al. Toronto Heart Attack Collaborative: an administrative model that facilitated a successful city-wide integration initiative. Healthcare Quarterly (Toronto, Ont). 2014; 17: 3641. DOI: 10.12927/hcq.2014.23745
  63. Liem SS, van der Hoeven BL, Oemrawsingh PV, Bax JJ, van der Bom JG, Bosch J, et al. MISSION!: Optimization of acute and chronic care for patients with acute myocardial infarction. American Heart Journal. 2007; 153: 14.e1–14.e11. DOI: 10.1016/j.ahj.2006.10.002
  64. Dorsch MF, Greenwood JP, Priestley C, Somers K, Hague C, Blaxill JM, et al. Direct ambulance admission to the cardiac catheterization laboratory significantly reduces door-to-balloon times in primary percutaneous coronary intervention. American Heart Journal. 2008; 155: 10548. DOI: 10.1016/j.ahj.2008.01.014
  65. Savage ML, Poon KKC, Johnston EM, Raffel OC, Incani A, Bryant J, et al. Pre-hospital ambulance notification and initiation of treatment of ST elevation myocardial infarction is associated with significant reduction in door-to-balloon time for primary PCI. Heart Lung and Circulation. 2014; 23: 43543. DOI: 10.1016/j.hlc.2013.11.015
  66. Belt GH, Felberg RA, Rubin J, Halperin JJ. In-Transit Telemedicine Speeds Ischemic Stroke Treatment: Preliminary Results. Stroke. 2016; 47: 24135. DOI: 10.1161/STROKEAHA.116.014270
  67. Kummer BR, Lerario MP, Navi BB, Ganzman AC, Ribaudo D, Mir SA, et al. Clinical Information Systems Integration in New York City’s First Mobile Stroke Unit. Applied Clinical Informatics. 2018; 9: 8998. DOI: 10.1055/s-0037-1621704
  68. Ebinger M, Kunz A, Wendt M, Rozanski M, Winter B, Waldschmidt C, et al. Effects of golden hour thrombolysis: A Prehospital Acute Neurological Treatment and Optimization of Medical Care in Stroke (PHANTOM-S) substudy. JAMA Neurology. 2015; 72: 2530. DOI: 10.1001/jamaneurol.2014.3188
  69. Langabeer JR, Gonzalez M, Alqusairi D, Champagne-Langabeer T, Jackson A, Mikhail J, et al. Telehealth-enabled emergency medical services program reduces ambulance transport to urban emergency departments. Western Journal of Emergency Medicine. 2016; 17: 71320. DOI: 10.5811/westjem.2016.8.30660
  70. Schaefer RA, Rea TD, Plorde M, Peiguss K, Goldberg P, Murray JA. An Emergency Medical Services Program of Alternate Destination of Patient Care. Prehospital Emergency Care. 2002; 6: 30914. DOI: 10.1080/10903120290938355
  71. Villarreal M, Leach J, Ngianga-Bakwin K, Dale J. Can a partnership between general practitioners and ambulance services reduce conveyance to emergency care? Emergency Medicine Journal. 2017; 34: 45965. DOI: 10.1136/emermed-2015-204924
  72. Machen I, Dickinson A, Williams J, Widiatmoko D, Kendall S. Nurses and paramedics in partnership: Perceptions of a new response to low-priority ambulance calls. Accident and Emergency Nursing. 2007; 15: 18592. DOI: 10.1016/j.aaen.2007.09.001
  73. Crawford J. Mesa community paramedicine. Fire Rescue Magazine. 2016; 34: 47.
  74. Phelan EA, Herbert J, Fahrenbruch C, Stubbs BA, Meischke H. Coordinating care for falls via emergency responders: A feasibility study of a brief at-scene intervention. Frontiers in Public Health. 2016; 4: 266. DOI: 10.3389/fpubh.2016.00266
  75. Snooks HA, Anthony R, Chatters R, Dale J, Fothergill RT, Gaze S, et al. Paramedic Assessment of Older Adults After Falls, Including Community Care Referral Pathway: Cluster Randomized Trial. Annals of Emergency Medicine. 2017; 70: 495505.e28. DOI: 10.1016/j.annemergmed.2017.01.006
  76. Mikolaizak AS, Lord SR, Tiedemann A, Simpson P, Caplan GA, Bendall J, et al. A multidisciplinary intervention to prevent subsequent falls and health service use following fall-related paramedic care: A randomised controlled trial. Age and Ageing. 2017; 46: 2008. DOI: 10.1093/ageing/afw190
  77. Comans TA, Currin ML, Quinn J, Tippett V, Rogers A, Haines TP. Problems with a great idea: Referral by prehospital emergency services to a community-based falls-prevention service. Injury Prevention. 2013; 19: 1348. DOI: 10.1136/injuryprev-2011-040076
  78. Lerner EB, Billittier AJ, IV, Lance DR, Janicke DM, Teuscher JA. Can paramedics safely treat and discharge hypoglycemic patients in the field? American Journal of Emergency Medicine. 2003; 21: 11520. DOI: 10.1053/ajem.2003.50014
  79. Sampson M, Bailey M, Clark J, Evans ML, Fong R, Hall H, et al. A new integrated care pathway for ambulance attended severe hypoglycaemia in the East of England: The Eastern Academic Health Science Network (EAHSN) model. Diabetes Research and Clinical Practice. 2017; 133: 509. DOI: 10.1016/j.diabres.2017.08.017
  80. Walker A, James C, Bannister M, Jobes E. Evaluation of a diabetes referral pathway for the management of hypoglycaemia following emergency contact with the ambulance service to a diabetes specialist nurse team. Emergency Medicine Journal. 2006; 23: 44951. DOI: 10.1136/emj.2005.028548
  81. Abrashkin KA, Washko J, Zhang J, Poku A, Kim H, Smith KL. Providing Acute Care at Home: Community Paramedics Enhance an Advanced Illness Management Program—Preliminary Data. Journal of the American Geriatrics Society. 2016; 64: 25726. DOI: 10.1111/jgs.14484
  82. Epton M, Limber C, Gullery C, McGeoch G, Shand B, Laing R, et al. Reducing hospital admissions for COPD: Perspectives following the Christchurch Earthquake. BMJ Open Respiratory Research. 2018; 5: 19. DOI: 10.1136/bmjresp-2018-000286
  83. Heinelt M, Drennan IR, Kim J, Lucas S, Grant K, Spearen C, et al. Prehospital Identification of Underlying Coronary Artery Disease by Community Paramedics. Prehospital Emergency Care. 2015; 19: 54853. DOI: 10.3109/10903127.2015.1005261
  84. Carter AJE, Arab M, Harrison M, Goldstein J, Stewart B, Lecours M, et al. Paramedics providing palliative care at home: A mixed-methods exploration of patient and family satisfaction and paramedic comfort and confidence. Canadian Journal of Emergency Medicine. 2019; 21: 51322. DOI: 10.1017/cem.2018.497
  85. Jensen JL, Travers AH, Bardua DJ, Dobson T, Cox B, McVey J, et al. Transport outcomes and dispatch determinants in a paramedic long-term care program: a pilot study. Cjem. 2013; 15: 20613. DOI: 10.2310/8000.2012.120965
  86. Jensen JL, Travers AH, Marshall EG, Leadlay S, Carter AJE. Insights into the implementation and operation of a novel paramedic long-term care program. Prehospital Emergency Care. 2014; 18: 8691. DOI: 10.3109/10903127.2013.831506
  87. Jensen JL, Marshall EG, Carter AJE, Boudreau M, Burge F, Travers AH. Impact of a Novel Collaborative Long-Term Care-EMS Model: A Before-and-After Cohort Analysis of an Extended Care Paramedic Program. Prehospital Emergency Care. 2016; 20: 1116. DOI: 10.3109/10903127.2015.1051678
  88. Marshall EG, Clarke B, Jensen J. Care by Design: New model of coordinated on-site primary and acute care in long-term care facilities. Canadian Family Physician. 2015; 61: 12934.
  89. Swain AH, Al-Salami M, Hoyle SR, Larsen PD. Patient satisfaction and outcome using emergency care practitioners in New Zealand. Emergency Medicine Australasia. 2012; 24: 17580. DOI: 10.1111/j.1742-6723.2011.01525.x
  90. Agarwal G, Angeles R, Pirrie M, McLeod B, Marzanek F, Parascandalo J, et al. Reducing 9-1-1 Emergency Medical Service Calls By Implementing A Community Paramedicine Program For Vulnerable Older Adults In Public Housing In Canada: A Multi-Site Cluster Randomized Controlled Trial. Prehospital Emergency Care. 2019; 23: 71829. DOI: 10.1080/10903127.2019.1566421
  91. Shah MN, Caprio T V., Swanson P, Rajasekaran K, Ellison JH, Smith K, et al. A novel emergency medical services-based program to identify and assist older adults in a rural community. Journal of the American Geriatrics Society. 2010; 58: 220511. DOI: 10.1111/j.1532-5415.2010.03137.x
  92. Antevy P. How Care Collaboration Is Improving Patient Outcomes. EMS World. 2017; 46: 2633.
  93. Mason S, Knowles E, Colwell B, Dixon S, Wardrope J, Gorringe R, et al. Effectiveness of paramedic practitioners in attending 999 calls from elderly people in the community: Cluster randomised controlled trial. British Medical Journal. 2007; 335: 91922. DOI: 10.1136/bmj.39343.649097.55
  94. New program set to intervene to prevent readmissions, repeat ED visits due to acute exacerbations of asthma. Relias Media; 2013.
  95. Geskey JM, Grile C, Jennings N, Good H, Crawford A, Kaminski M. Use of Postdischarge Emergency Medical Services to Reduce Hospital Readmissions: Does It Work and Is It Economically Feasible? Population Health Management. 2020; 23: 2205. DOI: 10.1089/pop.2019.0125
  96. Hoyle S, Swain AH, Fake P, Larsen PD. Introduction of an extended care paramedic model in New Zealand. Emergency Medicine Australasia. 2012; 24: 6526. DOI: 10.1111/j.1742-6723.2012.01608.x
  97. Mason S, O’Keeffe C, Knowles E, Bradburn M, Campbell M, Coleman P, et al. A pragmatic quasi-experimental multi-site community intervention trial evaluating the impact of Emergency Care Practitioners in different UK health settings on patient pathways (NEECaP Trial). Emergency Medicine Journal. 2012; 29: 4753. DOI: 10.1136/emj.2010.103572
  98. Erich J. Getting the Payers to Play. EMS World. 2013; 42: 312.
  99. Mount Sinai leverages smartphone technology, aiming to boost care, coordination of ED patients while also trimming costs. Relias Media; 2015.
  100. Dixon S, Mason S, Knowles E, Colwell B, Wardrope J, Snooks H, et al. Is it cost effective to introduce paramedic practitioners for older people to the ambulance service? Results of a cluster randomised controlled trial. Emergency Medicine Journal. 2009; 26: 44651. DOI: 10.1136/emj.2008.061424
  101. O’Meara PF, Tourle V, Stirling C, Walker J, Pedler D. Extending the paramedic role in rural Australia: A story of flexibility and innovation. Rural and Remote Health. 2012; 12: 1978. DOI: 10.22605/RRH1978
  102. Martin A, O’Meara P. Perspectives from the frontline of two North American community paramedicine programs: an observational, ethnographic study. Rural and Remote Health. 2019; 19. DOI: 10.22605/RRH4888
  103. Misner D. Community paramedicine: part of an integrated healthcare system. Emergency Medical Services. 2005; 34: 8990.
  104. Pruett K, White IV C, Braunschweiger A. Community Paramedicine in the Pueblo of Laguna, New Mexico. Journal of Emergency Medical Services. 2018; 1: 110.
  105. Calderone C, Brittain M, Sirivar D, Kotani N. Community paramedicine initiative: Transforming paramedicine in British Columbia. Studies in Health Technology and Informatics. 2017; 234: 548. DOI: 10.3233/978-1-61499-742-9-54
  106. Ashton C, Duffie D, Millar J. Conserving Quality of Life through Community Paramedics. Healthcare Quarterly (Toronto, Ont). 2017; 20: 4853. DOI: 10.12927/hcq.2017.25228
  107. O’Meara P, Ruest M, Martin A. Integrating a community paramedicine program with local health, aged care and social services: An observational ethnographic study. Australasian Journal of Paramedicine. 2015; 12. DOI: 10.33151/ajp.12.5.238
  108. Hertig R, Ackerman R, Zagar B, Tart S. Pharmacy student involvement in a transition of care program. Currents in Pharmacy Teaching and Learning. 2017; 9: 8417. DOI: 10.1016/j.cptl.2017.06.004
  109. Willoughby M, Williams J, Proctor D, Lovley J, Hall M, Shaw R, et al. Managing acute cardiac patients in and out of the hospital setting. Hospital Medicine. 2005; 66: 1867. DOI: 10.12968/hmed.2005.66.3.17695
  110. Colman M, Mackey K. Novel Paramedic Programs Respond to Behavioral Health-related Calls. ED Management: The Monthly Update on Emergency Department Management. 2017; 29: 138.
  111. Fischer M, Plorde M, Meischke H, Husain S. Lessons learned from a sobering center pilot for acute alcohol intoxication in South King County, Washington. Journal of Substance Use. 2020; 25: 1237. DOI: 10.1080/14659891.2019.1664666
  112. Iezzoni LI, Kothari D, Camargo CA, Wint AJ, Cluett WS, Tripodis Y, et al. Making Triage Decisions for the Acute Community Care Program: Paramedics Caring for Urgent Health Problems in Patients’ Homes. American Journal of Medical Quality. 2019; 34: 3318. DOI: 10.1177/1062860618800582
  113. Abrashkin KA, Poku A, Ramjit A, Washko J, Zhang J, Guttenberg M, et al. Community paramedics treat high acuity conditions in the home: A prospective observational study. BMJ Supportive and Palliative Care; 2019. DOI: 10.1136/bmjspcare-2018-001746
  114. Webb V, Stark M, Cutts A, Tait S, Randle J, Green G. One model of healthcare provision lessons learnt through clinical governance. Journal of Forensic and Legal Medicine. 2010; 17: 36873. DOI: 10.1016/j.jflm.2010.05.011
  115. Johnson SR. Best Practices: Paramedics deployed as care navigators. Modern Healthcare; 2015.
  116. Mobile teams fill the gap between the hospital and the community. Relias Media; 2016.
  117. Brydges M, Denton M, Agarwal G. The CHAP-EMS health promotion program: A qualitative study on participants’ views of the role of paramedics. BMC Health Services Research. 2016; 16: 19. DOI: 10.1186/s12913-016-1687-9
  118. Whalen S, Goldstein J, Urquhart R, Carter AJE. The novel role of paramedics in collaborative emergency centres aligns with their professional identity: A qualitative analysis. Canadian Journal of Emergency Medicine. 2018; 20: 51822. DOI: 10.1017/cem.2018.401
  119. Wilcox MR. Community Paramedicine in a Rural Setting. EMS World. 2016; 45: 179.
  120. Crockett BM, Jasiak KD, Walroth TA, Degenkolb KE, Stevens AC, Jung CM. Pharmacist involvement in a community paramedicine team. Journal of Pharmacy Practice. 2017; 30: 2238. DOI: 10.1177/0897190016631893
  121. Verma AA, Klich J, Thurston A, Scantlebury J, Kiss A, Seddon G, et al. Paramedic-Initiated Home Care Referrals and Use of Home Care and Emergency Medical Services. Prehospital Emergency Care. 2018; 22: 37984. DOI: 10.1080/10903127.2017.1387627
  122. Joy T, Ramage L, Mitchinson S, Kirby O, Greenhalgh R, Goodsman D, et al. Community emergency medicine: Taking the ED to the patient: A 12-month observational analysis of activity and impact of a physician response unit. Emergency Medicine Journal. 2020; 37: 5309. DOI: 10.1136/emermed-2018-208394
  123. Allen D, Ishaq M. Care, not custody. Emergency Nurse. 2019; 27: 89. DOI: 10.7748/en.27.2.8.s8
  124. Canady VA. Field: Passage of mental health reform legislation an important first step. Mental Health Weekly. 2016; 26: 13. DOI: 10.1002/mhw.30848
  125. Creed JO, Cyr JM, Owino H, Box SE, Ives-Rublee M, Sheitman BB, et al. Acute Crisis Care for Patients with Mental Health Crises: Initial Assessment of an Innovative Prehospital Alternative Destination Program in North Carolina. Prehospital Emergency Care. 2018; 22: 55564. DOI: 10.1080/10903127.2018.1428840
  126. Dainty KN, Seaton MB, Drennan IR, Morrison LJ. Home Visit-Based Community Paramedicine and Its Potential Role in Improving Patient-Centered Primary Care: A Grounded Theory Study and Framework. Health Services Research. 2018; 53: 345570. DOI: 10.1111/1475-6773.12855
  127. Siddle J, Pang PS, Weaver C, Weinstein E, O’Donnell D, Arkins TP, et al. Mobile integrated health to reduce post-discharge acute care visits: A pilot study. American Journal of Emergency Medicine. 2018; 36: 8435. DOI: 10.1016/j.ajem.2017.12.064
  128. Scharf BM, Bissell RA, Trevitt JL, Jenkins JL. Diagnosis prevalence and comorbidity in a population of mobile integrated community health care patients. Prehospital and Disaster Medicine. 2019; 34: 819. DOI: 10.1017/S1049023X18001140
  129. Anastasio M, Bruce JD, Mezo J. Mobile Integrated Healthcare Part 4: Integrating Home Care, Hospice & EMS. EMS World; 2015.
  130. McDonald N, Sneath R. 12895-McDonald-2018-CHRONIC ILLNESS AND PREHOSPITAL.pdf. Canadian Paramedicine; 2018.
  131. Le May MR, Davies RF, Dionne R, Maloney J, Trickett J, So D, et al. Comparison of Early Mortality of Paramedic-Diagnosed ST-Segment Elevation Myocardial Infarction With Immediate Transport to a Designated Primary Percutaneous Coronary Intervention Center to That of Similar Patients Transported to the Nearest Hospital. American Journal of Cardiology. 2006; 98: 132933. DOI: 10.1016/j.amjcard.2006.06.019
  132. Dieker HJ, Liem SSB, El Aidi H, Van Grunsven P, Aengevaeren WRM, Brouwer MA, et al. Pre-hospital triage for primary angioplasty: Direct referral to the intervention center versus interhospital transport. JACC: Cardiovascular Interventions. 2010; 3: 70511. DOI: 10.1016/j.jcin.2010.04.010
  133. van ’t Hof AWJ, Rasoul S, van de Wetering H, Ernst N, Suryapranata H, Hoorntje JCA, et al. Feasibility and benefit of prehospital diagnosis, triage, and therapy by paramedics only in patients who are candidates for primary angioplasty for acute myocardial infarction. American Heart Journal. 2006; 151: 1255.e1–1255.e5. DOI: 10.1016/j.ahj.2006.03.014
  134. Burns B, Reid C, Habig K. Review of aeromedical intra-aortic balloon pump retrieval in New South Wales. European Journal of Emergency Medicine. 2013; 20: 236. DOI: 10.1097/MEJ.0b013e32834fdcc9
  135. Lamhaut L, Jouffroy R, Soldan M, Phillipe P, Deluze T, Jaffry M, et al. Safety and feasibility of prehospital extra corporeal life support implementation by non-surgeons for out-of-hospital refractory cardiac arrest. Resuscitation. 2013; 84: 15259. DOI: 10.1016/j.resuscitation.2013.06.003
  136. Chesters A, Harris T, Hodgetts TJ, Keefe N. Survival to Discharge after Cardiac Arrest Attended by a Doctor-Paramedic Helicopter Emergency Medical Service: An Utstein-style Multiservice Review of 1085 Activations. Journal of Emergency Medicine. 2015; 49: 43947. DOI: 10.1016/j.jemermed.2015.05.001
  137. Zayas R. Critical care transport of patients with brain injuries. AACN Advanced Critical Care. 2018; 29: 17582. DOI: 10.4037/aacnacc2018432
  138. Roberts K, Blethyn K, Foreman M, Bleetman A. Influence of air ambulance doctors on on-scene times, clinical interventions, decision-making and independent paramedic practice. Emergency Medicine Journal. 2009; 26: 12834. DOI: 10.1136/emj.2008.059899
  139. Wagstaff B, Mistry V. The integration of paramedics into primary care. British Journal of General Practice. 2020; 70: 123. DOI: 10.3399/bjgp20X708545
  140. Chellappa DK, DeCherrie L V., Escobar C, Gregoriou D, Munjal KG. Supporting the on-call primary care physician with community paramedicine. Internal Medicine Journal. 2018; 48: 12614. DOI: 10.1111/imj.14049
  141. Washko JD. It Takes a Team of Teams to Transform Healthare. Northwell Health’s integrated EMS revolution. EMS World. 2016; 45: 3643.
  142. Proctor A. Home visits from paramedic practitioners in general practice: patient perceptions. Journal of Paramedic Practice. 2019; 11: 11521. DOI: 10.12968/jpar.2019.11.3.115
  143. Martin-Misener R, Downe-Wamboldt B, Cain E, Girouard M. Cost effectiveness and outcomes of a nurse practitioner–paramedic–family physician model of care: the Long and Brier Islands study. Primary Health Care Research & Development. 2009; 10: 14. DOI: 10.1017/S1463423608000959
  144. Travers AH. Evolution of a high-performance emergency health services system in Nova Scotia. Healthcare Management Forum. 2018; 31: 1915. DOI: 10.1177/0840470418773416
  145. Dobson T. Collaboration in Health Care. Canadian Paramedicine; 2014.
  146. Community paramedics fill gaps, take load off EDs. Relias Media; 2014.
  147. Cooper S, O’Carroll J, Jenkin A, Badger B. Emergency care practitioners (ECP): Practice and performance in the UK West country – A case study. International Emergency Nursing. 2008; 16: 1804. DOI: 10.1016/j.ienj.2008.04.004
  148. Cooper S, Barrett B, Black S, Evans C, Real C, Williams S, et al. The emerging role of the emergency care practitioner. Emergency Medicine Journal. 2004; 21: 6148. DOI: 10.1136/emj.2003.011247
  149. Pearson KB, Shaler G. Community paramedicine pilot programs: Lessons from Maine. Journal of Health and Human Services Administration. 2017; 40: 14185.
  150. Georgiev R, Stryckman B, Velez R. The Integral Role of Nurse Practitioners in Community Paramedicine. Journal for Nurse Practitioners. 2019; 15: 72531. DOI: 10.1016/j.nurpra.2019.07.019
  151. O’Meara P, Stirling C, Ruest M, Martin A. Community paramedicine model of care: An observational, ethnographic case study. BMC Health Services Research. 2016; 16: 111. DOI: 10.1186/s12913-016-1282-0
  152. Cooper S, O’Carroll J, Jenkin A, Badger B. Collaborative practices in unscheduled emergency care: Role and impact of the emergency care practitioner – Quantitative findings. Emergency Medicine Journal. 2007; 24: 6303. DOI: 10.1136/emj.2007.048058
  153. Caid LP. Fire-Based EMS: The Shift Toward Community Integrated Paramedicine. Firehouse; 2016.
  154. Doan TN, Schultz B V., Rashford S, Rogers B, Prior M, Vollbon W, et al. Prehospital ST-Segment Elevation Myocardial Infarction (STEMI) in Queensland, Australia: Findings from 11 Years of the Statewide Prehospital Reperfusion Strategy. Prehospital Emergency Care. 2020; 24: 32634. DOI: 10.1080/10903127.2019.1651433
  155. Iezzoni LI, Wint AJ, Cluett WS, Ajayi T, Goudreau M, Blanchfield BB, et al. Early experiences with the acute community care program in eastern Massachusetts. American Journal of Managed Care. 2018; 24: e2707.
  156. Chesters A, Webb T. Ketamine for procedural sedation by a doctor-paramedic prehospital care team. European Journal of Emergency Medicine. 2015; 22: 4016. DOI: 10.1097/MEJ.0000000000000241
  157. Klich J. EMS Collaboration: Working Relationships Within the Community Support & Health Care Systems. Canadian Paramedicine; 2014.
  158. Mettner J. Keeping Emergencies At Bay. Minnesota Medicine. 2013; 101.
  159. Bennett KJ, Yuen MW, Merrell MA. Community Paramedicine Applied in a Rural Community. Journal of Rural Health. 2018; 34: s3947. DOI: 10.1111/jrh.12233
  160. Stirling CM, O’Meara P, Pedler D, Tourle V, Walker J. Engaging rural communities in health care through a paramedic expanded scope of practice. Rural and Remote Health. 2007; 7: 839. DOI: 10.22605/RRH839
  161. Pennel CL, Tamayo L, Wells R, Sunbury T. Emergency medical service- based care coordination for three rural communities. Journal of Health Care for the Poor and Underserved. 2016; 27: 15980. DOI: 10.1353/hpu.2016.0178
  162. BC Emergency Health Services. Bringing Community Paramedicine to BC’s First Nations. Canadian Paramedicine; 2019.
  163. World Health Organization. Integrated care models: an overview; 2016.
  164. Langins M, Borgermans L. Strengthening a competent health workforce for the provision of coordinated/integrated health services. International Journal of Integrated Care. 2016; 16: 231. DOI: 10.5334/ijic.2779
  165. Busetto L, Luijkx K, Calciolari S, Ortiz LGG, Vrijhoef HJM. Barriers and Facilitators to Workforce Changes in Integrated Care. International Journal of Integrated Care. 2018; 18. DOI: 10.5334/ijic.3587
  166. Provan KG, Kenis P. Modes of Network Governance: Structure, Management, and Effectiveness. Journal of Public Administration Research and Theory. 2007; 18: 22952. DOI: 10.1093/jopart/mum015
  167. Leutz WN. Five Laws for Integrating Medical and Social Services: Lessons from the United States and the United Kingdom. Milbank Quarterly. 1999; 77: 77110. DOI: 10.1111/1468-0009.00125
  168. Tenbensel T, Silwal PR, Walton L, Ayeleke RO. New Zealand’s Integration- Based Policy for Driving Local Health System Improvement – Which Conditions Underpin More Successful Implementation? International Journal of Integrated Care. 2021; 21: 8. DOI: 10.5334/ijic.5602
  169. Kasteng F, Magnusson J, Borgermans L, Kalseth J. An overview of payment mechanisms and contractual models to support patient-centred care integration. International Journal of Integrated Care. 2016; 16: 337. DOI: 10.5334/ijic.2885
  170. Kalseth J, Kasteng F, Borgermans L. Financial Models for Care Integration; 2015.
  171. Stokes J, Struckmann V, Kristensen SR, Fuchs S, van Ginneken E, Tsiachristas A, et al. Towards incentivising integration: A typology of payments for integrated care. Health Policy. 2018; 122: 9639. DOI: 10.1016/j.healthpol.2018.07.003
DOI: https://doi.org/10.5334/ijic.6418 | Journal eISSN: 1568-4156
Language: English
Submitted on: Aug 28, 2021
Accepted on: Mar 28, 2022
Published on: Apr 13, 2022
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2022 Amir Allana, Walter Tavares, Andrew D. Pinto, Kerry Kuluski, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.