Impact of a mobile integrated healthcare and community paramedicine program on improving medication adherence in patients with heart failure and chronic obstructive pulmonary disease after hospital discharge: A pilot study

Sokan, Olufunke; Stryckman, Benoit; Liang, Yuanyuan; Osotimehin, Sadé; Gingold, Daniel B.; Blakeslee, Weston W.; Moore, Matthew; Banas, Colin; Landi, Colleen; Rodríguez, Magaly Cordero

doi:10.1016/j.rcsop.2022.100201

Cited by 5 publications

(5 citation statements)

References 28 publications

(33 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The disparity of workforce and subsequent service provision in rural contexts was a common challenge motivating both community-initiated and system-initiated community paramedicine development in remote and rural settings [27][28][29][30]. Risk of readmission post-discharge was found to increase when individuals met challenges managing existing chronic conditions due to lack of access to medications combined with low health literacy [31,32]. Amidst limitations from low health literacy and the complexities of system navigation, community paramedicines' role in care coordination arose as a key aspect of support provided by various program models [32][33][34][35][36][37].…”

Section: Domain 1 -Access To Health and Social Servicesmentioning

confidence: 99%

“…Risk of readmission post-discharge was found to increase when individuals met challenges managing existing chronic conditions due to lack of access to medications combined with low health literacy [31,32]. Amidst limitations from low health literacy and the complexities of system navigation, community paramedicines' role in care coordination arose as a key aspect of support provided by various program models [32][33][34][35][36][37]. Capabilities for community paramedicine to address health needs was demonstrated in reports that paramedics are perceived as trusted health professionals engaged in health promotion and education during home-visits and outreach, and is evident where care coordination and system navigation is a program feature [28,35,[38][39][40][41][42][43][44][45].…”

Section: Domain 1 -Access To Health and Social Servicesmentioning

confidence: 99%

See 1 more Smart Citation

Community Paramedicine Supporting Community Needs: A Scoping Review

Lunn,

Bolster,

Batt

2024

Preprint

View full text Add to dashboard Cite

Health and social needs exist along a dynamic continuum. Recognizing that health status is inextricably impacted by social determinants of health, community paramedicine has opportunities and a responsibility to reduce inequities. The objective of this scoping review was to investigate peer-reviewed and grey literature to explore how community paramedicine supports community needs along a health and social continuum. We conducted a scoping review of English language literature using the JBI Scoping Review methodology. We searched CINAHL, EMBASE, MEDLINE, Google Scholar, and organisational websites. 30 peer-reviewed and 13 grey literature articles met inclusion criteria. The findings describe the ways community paramedicine models evolved from minimising system pressures on emergency health services to addressing health and social needs. A key recommendation across the literature was the need to meaningfully engage communities early in program development to understand how best to implement and co-design integrated service models addressing specific community needs, though there was a lack of evidence to guide this approach. There is a notable lack of evidence pertaining to optimising technologies in program design and implementation. Results highlight opportunities to determine best practices for conducting holistic community needs assessments that include equitable stakeholder engagement and enhancing education to prepare paramedics for expanded roles. Community paramedicine provides opportunities to better meet the needs of structurally marginalised communities. There is a social responsibility and opportunity to engage communities to co-design service delivery, advance paramedic education, and enhance interprofessional collaboration to better support community needs and generate upstream solutions for individuals and communities.

show abstract

Section: Domain 1 -Access To Health and Social Servicesmentioning

confidence: 99%

Section: Domain 1 -Access To Health and Social Servicesmentioning

confidence: 99%

Community Paramedicine Supporting Community Needs: A Scoping Review

Lunn,

Bolster,

Batt

2024

Preprint

View full text Add to dashboard Cite

show abstract

“…The majority of the selected research (n = 16) focused on implementing a social and healthcare supportive program to address the social needs of the target population. Interventions were implemented in various settings for hospital-based initiatives, including post hospital discharge [221] , the emergency department [222], and clinics specializing in different medical disciplines [223][224][225][226][227]. On the other hand, community-based initiatives concentrated mainly on integrating interventions into primary care services [228][229][230][231].…”

Section: Sdoh Interventionsmentioning

confidence: 99%

“…Meanwhile, 4 studies investigated the potential for enhancing resource allocation through surveying outcomes. The improvement objectives encompassed the allocation of staff and equipment [221], the enhancement of patient navigation [224], and the transformation of health service practices [226,238].…”

Section: Sdoh Interventionsmentioning

confidence: 99%

Realizing the Potential of Social Determinants Data: A Scoping Review of Approaches for Screening, Linkage, Extraction, Analysis and Interventions

Li,

Mowery,

et al. 2024

Preprint

View full text Add to dashboard Cite

Background Social determinants of health (SDoH) like socioeconomics and neighborhoods strongly influence outcomes, yet standardized SDoH data is lacking in electronic health records (EHR), limiting research and care quality. Methods We searched PubMed using keywords "SDOH" and "EHR", underwent title/abstract and full-text screening. Included records were analyzed under five domains: 1) SDoH screening and assessment approaches, 2) SDoH data collection and documentation, 3) Use of natural language processing (NLP) for extracting SDoH, 4) SDoH data and health outcomes, and 5) SDoH-driven interventions. Results We identified 685 articles, of which 324 underwent full review. Key findings include tailored screening instruments implemented across settings, census and claims data linkage providing contextual SDoH profiles, rule-based and neural network systems extracting SDoH from notes using NLP, connections found between SDoH data and healthcare utilization/chronic disease control, and integrated care management programs executed. However, considerable variability persists across data sources, tools, and outcomes. Discussion Despite progress in identifying patient social needs, further development of standards, predictive models, and coordinated interventions is critical to fulfilling the potential of SDoH-EHR integration. Additional database searches could strengthen this scoping review. Ultimately widespread capture, analysis, and translation of multidimensional SDoH data into clinical care is essential for promoting health equity.

show abstract

“…[23][24][25][26] Risk of readmission post-discharge was found to increase when individuals met challenges managing existing chronic conditions due to lack of access to medications combined with low health literacy. 27,28 Amidst limitations from low health literacy and the complexities of system navigation, community paramedicines' role in care coordination arose as a key aspect of support provided by various program models. 28,-33 Capabilities for community paramedicine to address health needs was demonstrated in reports that paramedics are perceived as trusted health professionals engaged in health promotion and education during home-visits and outreach, and is evident in programs where EMS-based care coordination and system navigation is a program feature.…”

Section: Social Needs Domainsmentioning

confidence: 99%

Community Paramedicine Supporting Social Needs: A Scoping Review

Lunn,

Bolster,

Batt

2023

Preprint

View full text Add to dashboard Cite

Introduction: Health and social needs exist along a dynamic continuum. Recognizing that health status is inextricably impacted by social determinants of health, there exists opportunities and a professional responsibility to better understand how community paramedicine can address social needs in effort to reduce healthcare inequities.Aim: The primary objective of this scoping review is to systematically investigate published peer reviewed and grey literature to explore how community paramedicine supports social needs along a health and social continuum.Methods: A scoping review of English language literature was conducted using the JBI Scoping Review methodology. We searched CINAHL, EMBASE, and MEDLINE and grey literature searches in Google Scholar and organisational websites. We used search terms related to community paramedicine and social needs. Results: A total of 30 peer-reviewed and 13 grey literature articles met inclusion criteria. The main findings of this scoping review describe the evolving ways community paramedicine models are addressing health and social needs. A key recommendation across the literature was the need to meaningfully engage communities early in program development to understand how best to implement and co-design an integrated service model that addresses the needs specific to each community, though there was a lack of evidence to guide this approach. There is a notable lack of evidence pertaining to how best to optimize technologies in program design and implementation. The results highlight opportunities to determine best practices for conducting holistic community needs assessments that include equitable stakeholder engagement and enhance education to prepare paramedics for expanded roles.Conclusion: Community paramedicine provides opportunities to better meet the needs of structurally marginalised communities. However, there is a social responsibility and opportunity to engage in community needs assessments to co-design service delivery, advance paramedic education, and enhance interprofessional collaboration to better support social needs and generate upstream solutions for individuals and communities.

show abstract

Impact of a mobile integrated healthcare and community paramedicine program on improving medication adherence in patients with heart failure and chronic obstructive pulmonary disease after hospital discharge: A pilot study

Cited by 5 publications

References 28 publications

Community Paramedicine Supporting Community Needs: A Scoping Review<strong></strong>

Community Paramedicine Supporting Community Needs: A Scoping Review<strong></strong>

Realizing the Potential of Social Determinants Data: A Scoping Review of Approaches for Screening, Linkage, Extraction, Analysis and Interventions

<strong></strong>Community Paramedicine Supporting Social Needs: A Scoping Review

Contact Info

Product

Resources

About