Feasibility and acceptability of paramedic-initiated health education for rural-dwelling older people

McManamny, Tegwyn; Boyd, Leanne; Sheen, Jade; Lowthian, Judy

doi:10.1177/00178969221125622

Cited by 3 publications

(4 citation statements)

References 40 publications

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“…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]. Programs proved adaptive when ad hoc response was required in instances of crisis, and included supporting persons impacted by flooding disasters and the COVID-19 pandemic [28,46].…”

Section: Domain 1 -Access To Health and Social Servicesmentioning

confidence: 99%

“…A total of 33 studies (77%) highlighted the negative impact of social isolation on health, particularly for older adults in both urban and rural settings [28,29,33,36,37,42,50,52,55,56,[58][59][60]. Community paramedicines' ability to address social isolation was evident in programs that used combinations of home-visits and clinics.…”

Section: Domain 5 -Social Support Agency and Belongingmentioning

confidence: 99%

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Community Paramedicine Supporting Community Needs: A Scoping Review

Lunn,

Bolster,

Batt

2024

Preprint

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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.

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Section: Domain 1 -Access To Health and Social Servicesmentioning

confidence: 99%

Section: Domain 5 -Social Support Agency and Belongingmentioning

confidence: 99%

Community Paramedicine Supporting Community Needs: A Scoping Review

Lunn,

Bolster,

Batt

2024

Preprint

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“…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. 24,31,[34][35][36][37][38][39][40][41] Programs proved adaptive when ad hoc response was required in instances of crisis, and included supporting persons impacted by flooding disasters and the COVID-19 pandemic. 24,42 Evaluation outcomes beyond health system utilisation were lacking in the literature.…”

Section: Social Needs Domainsmentioning

confidence: 99%

“…A total of 33 studies highlighted the negative impact of social isolation on health, particularly for older adults in both urban and rural settings. [24][25][26]32,33,38,46,48,51,52,[54][55][56] Community paramedicines' ability to address social isolation was evident in programs that used combinations of home-visits and clinics. When these models were embedded in social housing and supportive living sites, they were also well-positioned to address poverty, food insecurity and isolation of older adults.…”

Section: Domain 5 -Social Support Agency and Belongingmentioning

confidence: 99%

Community Paramedicine Supporting Social Needs: A Scoping Review

Lunn,

Bolster,

Batt

2023

Preprint

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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.

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Community Paramedicine Supporting Community Needs: A Scoping Review

Lunn,

Bolster,

Batt

2024

Health & Social Care in the Community

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Health and social needs exist along a dynamic continuum. Recognising 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 the 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 the 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 the 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 the program development to understand how best to implement and codesign integrated service models addressing specific community needs although there was a lack of evidence to guide this approach. There is a notable lack of evidence pertaining to optimising technologies in the program design and implementation. The results highlight opportunities to determine the 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 codesign service delivery, advance paramedic education, and enhance interprofessional collaboration to better support community needs and generate upstream solutions for individuals and communities.

show abstract

Feasibility and acceptability of paramedic-initiated health education for rural-dwelling older people

Cited by 3 publications

References 40 publications

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

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

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

Community Paramedicine Supporting Community Needs: A Scoping Review

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