Community Paramedicine Applied in a Rural Community

Abstract

The CP program demonstrated a meaningful difference in the health of participants while reducing their health care utilization. CP patients reduced their ED and inpatient use, required less intensive care, had better health outcomes, and reduced health expenses to the community.

Development of sustainable community paramedicine programmes: a case study in Pennsylvania

“…In particular, due to the lack of a thorough CP programme evaluation and data collection plan, the cost effectiveness of the CP programme may not be easily demonstrated. Although the costs of equipment, personnel and transportation can be estimated, various goals may not directly contribute specific returns to the programme 13. This could also be caused by the fact that CP programmes usually work with multiple stakeholders and are interconnected with different agencies.…”

“…One example is the Abbeville CP programme in South Carolina, which collaborates with local EMS and one of the critical access hospitals (CAH) in the area 13. MedStar, a metropolitan area ambulance authority in Fort Worth, Texas, focuses on reducing ED utilisation and 9-1-1 calls 14.…”

Approaches for Improving Health Equity: The Effect of The Gainesville Community Resource Paramedic Program on Reducing Emergency Department Utilization

“…CP and other types of mobile integrated health care (MIH) programs have been effective in reducing frequent ED utilization (Nejtek, 2017), improving chronic disease measures (Bennett, 2018), generating savings by partnering with payer and provider networks (Roeper, 2018), and assisting primary care physicians with care coordination (Chellappa, 2018).…”

Management of frequent ED users by community paramedics improves patient experiences and reduces EMS utilization

“…Paramedicine represents a unique intersection of health care, public health, and public safety and allows paramedics and emergency medical technicians (EMTs) to operate in expanded roles by assisting with primary healthcare, preventive services and public health for underserved populations in the community. It has been deployed in a variety of settings, 3 including illness management, 4 senior housing, 5,6 flood disaster, 7 rural communities, 8,9 and recently in a ED-to-home transition intervention. 10 There is a push to study the effectiveness of these programs in achieving the IHI (Institute for Healthcare Improvement) Triple Aim.…”