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Table 1 RESPIGHT community paramedicine model of care

From: Community paramedicine model of care: an observational, ethnographic case study

Domains of practice/enabling factors Descriptions Potential performance measures
Response to emergencies Timely emergency responses remain the core business of paramedic services. Monitor clinical outcomes. e.g. survival rates.
Engaging with communities Encouraging and embracing co-production with patient groups and/or communities. Sustained participation in monitoring and management of programs. Evidence of inclusive community engagement.
Situated practice Key component of the model, giving it flexibility to respond to local needs and take account of existing resources. Success in addressing the specific needs of communities. e.g. access, safety, equity, reliability.
Primary health care Expansion of practice from acute incidents to interprofessional care. Monitor unnecessary ED presentations and hospital re-admissions. Records of preventative and health promotion activities.
Integration with health, aged care and social services Both an enabler and a key benefit of the community paramedicine model. Network analysis of communication and collaboration with key services.
Governance and leadership Paramedic leadership and effective interprofessional clinical governance systems. Survey stakeholders and undertake clinical risk audits. Measure adverse events.
Higher education Access to degree-level education for entry-level practitioners, consistent with other health professionals. Map paramedicine program curricula against other health professions and community health needs.
Treatment and transport options Development of clear and transparent clinical and social pathways for patients in collaboration with other health professionals, families and social services. Cost-utility analysis comparing community paramedicine programs against established practice. Audit community paramedic referrals.