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. |