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https://www.readbyqxmd.com/read/28333367/community-paramedicine-applied-in-a-rural-community
#1
Kevin J Bennett, Matt W Yuen, Melinda A Merrell
RESEARCH OBJECTIVE: Abbeville County Emergency Management Services (ACEMS) began a community paramedicine (CP) program to utilize trained paramedics to serve patients who frequently use the emergency department (ED) and have 1 or more of the following diagnoses: hypertension, diabetes, chronic heart failure, asthma, and chronic obstructive pulmonary disease. The objective of this study was to determine if the CP program reduced ED visits in Abbeville while improving patient outcomes. DESIGN: A pre/posttest with a comparison group study design was used to evaluate the CP program...
March 23, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28210354/community-paramedicine-911-alternative-destinations-are-a-patient-safety-issue
#2
EDITORIAL
Nick T Sawyer, John D Coburn
No abstract text is available yet for this article.
February 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28186015/community-paramedicine-initiative-transforming-paramedicine-in-british-columbia
#3
Colton Calderone, Michelle Brittain, Daniel Sirivar, Nancy Kotani
British Columbia's health care system is facing challenges related to rural access to care and an ever increasing demand for services. These variables are compounded by the anticipated needs of an aging population that can expect to live several of their golden years with a chronic illness. The introduction of community paramedicine in BC allows for a care delivery model that expands the role of qualified paramedics to include the delivery of prevention, health promotion and primary care services in the community...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28154839/role-of-alexithymia-anxiety-and-depression-in-predicting-self-efficacy-in-academic-students
#4
Mahbobeh Faramarzi, Soraya Khafri
Objective. Little research is available on the predictive factors of self-efficacy in college students. The aim of the present study is to examine the role of alexithymia, anxiety, and depression in predicting self-efficacy in academic students. Design. In a cross-sectional study, a total of 133 students at Babol University of Medical Sciences (Medicine, Dentistry, and Paramedicine) participated in the study between 2014 and 2015. All participants completed the Toronto Alexithymia Scale (TAS-20), College Academic Self-Efficacy Scale (CASES), and 14 items on anxiety and depression derived from the 28 items of the General Health Questionnaire (28-GHQ)...
2017: TheScientificWorldJournal
https://www.readbyqxmd.com/read/28134071/everyday-dangers-the-impact-infectious-disease-has-on-the-health-of-paramedics-a-scoping-review
#5
Brodie Thomas, Peter O'Meara, Evelien Spelten
BACKGROUND: Paramedics respond to emergency scenes in often uncontrolled settings without being aware of potential risks. This makes paramedicine one of the most dangerous occupations. One of these dangers is the risk of contracting infectious diseases. Research in this area is predominantly focused on compliance in the use of protective equipment, attitudes and perceptions of paramedics, infectious disease policy, and exposure rates to blood and body fluids. The purpose of this scoping review was to determine what is known about the impact of infectious disease on the health of paramedics...
January 30, 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/27996352/lessons-learned-developing-and-piloting-interprofessional-handover-simulations-for-paramedic-nursing-and-physiotherapy-students
#6
Jill Stow, Julia Morphet, Debra Griffiths, Chris Huggins, Prue Morgan
Interprofessional education is an important element in the preparation of healthcare students who can communicate effectively and work collaboratively. A grant from Health Workforce Australia funded a shared nursing, paramedicine, and physiotherapy simulation suite and a staff member dedicated to interprofessional simulation, with the aim of increasing high fidelity simulation within and across the three professions. This article describes the development process and pilot testing of four purpose-designed interprofessional handover scenarios for paramedic, nursing, and physiotherapy students...
January 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/27993163/aiming-to-improve-readmissions-through-integrated-hospital-transitions-airtight-study-protocol-for-a-randomized-controlled-trial
#7
Andrew McWilliams, Jason Roberge, Charity G Moore, Avery Ashby, Whitney Rossman, Stephanie Murphy, Stephannie McCall, Ryan Brown, Shannon Carpenter, Scott Rissmiller, Scott Furney
BACKGROUND: Hospital readmissions remain highly prevalent despite being the target of policies and financial penalties. Evidence comparing the effectiveness and costs of interventions to reduce readmissions is lacking, leaving healthcare systems with little guidance on how to improve quality and avoid costly penalties. Effective interventions likely need to bridge inpatient and outpatient settings, incorporate information technology, and use dedicated providers. Such complex innovations will require rigorous evaluation...
December 19, 2016: Trials
https://www.readbyqxmd.com/read/27818420/what-is-the-potential-of-community-paramedicine-to-fill-rural-health-care-gaps
#8
Davis G Patterson, Cynthia Coulthard, Lisa A Garberson, Gary Wingrove, Eric H Larson
Community paramedicine (CP) uses emergency medical services (EMS) providers to help rural communities increase access to primary care and public health services. This study examined goals, activities, and outcomes of 31 rural-serving CP programs through structured interviews of program leaders and document review. Common goals included managing chronic disease (90.3%); and reducing emergency department visits (83.9%), hospital admissions/readmissions (83.9%), and costs (83.9%). Target populations included the chronically ill (90...
2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/27605119/informing-a-canadian-paramedic-profile-framing-concepts-roles-and-crosscutting-themes
#9
Walter Tavares, Ron Bowles, Becky Donelon
BACKGROUND: Paramedicine is a rapidly evolving health profession with increasing responsibilities and contributions to healthcare. This rapid growth has left the profession with unclear professional and clinical boundaries. Existing defining frameworks may no longer align with the practice of paramedicine or expectations of the public. The purpose of this study was to explore the roles paramedics in Canada are to embody and that align with or support the rapid and ongoing evolution of the profession...
2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27577376/wearable-technology-in-medicine-machine-to-machine-m2m-communication-in-distributed-systems
#10
Michael Schmucker, Kemal Yildirim, Christoph Igel, Martin Haag
Smart wearables are capable of supporting physicians during various processes in medical emergencies. Nevertheless, it is almost impossible to operate several computers without neglecting a patient's treatment. Thus, it is necessary to set up a distributed network consisting of two or more computers to exchange data or initiate remote procedure calls (RPC). If it is not possible to create flawless connections between those devices, it is not possible to transfer medically relevant data to the most suitable device, as well as to control a device with another one...
2016: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/27575363/providing-acute-care-at-home-community-paramedics-enhance-an-advanced-illness-management-program-preliminary-data
#11
Karen A Abrashkin, Jonathan Washko, Jenny Zhang, Asantewaa Poku, Hyun Kim, Kristofer L Smith
Models addressing urgent clinical needs for older adults with multiple advanced chronic conditions are lacking. This observational study describes a Community Paramedicine (CP) model for treatment of acute medical conditions within an Advanced Illness Management (AIM) program, and compares its effect on emergency department (ED) use and subsequent hospitalization with that of traditional emergency medical services (EMS). Community paramedics were trained to evaluate and, with telemedicine-enhanced physician guidance, treat acute illnesses in individuals' homes...
December 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27557895/the-chap-ems-health-promotion-program-a-qualitative-study-on-participants-views-of-the-role-of-paramedics
#12
Madison Brydges, Margaret Denton, Gina Agarwal
BACKGROUND: Expanded roles for paramedics, commonly termed community paramedicine, are becoming increasingly common. Paramedics working in community paramedicine roles represent a distinct departure away from the traditional emergency paradigm of paramedic services. Despite this, little research has addressed how community paramedics are perceived by their clients. METHODS: This study took an interpretivist qualitative approach to examine participants' perceptions of paramedics providing a community paramedicine program, named the Community Health Assessment Program through Emergency Medical Services (CHAP-EMS)...
2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27467168/leading-on-the-edge-the-nature-of-paramedic-leadership-at-the-front-line-of-care
#13
Danielle Mercer, Arlene Haddon, Catherine Loughlin
BACKGROUND: Health care organizations are considered complex systems that represent both formal leadership as well as more informal and shared leadership models. Implementing these models is essential for optimizing care and patient outcomes. The paramedic profession specifically, although considered informally, leads out of hospital patient care. PURPOSE: To date, few empirical studies investigate shared leadership in health care settings. In paramedicine specifically, studies of leadership are scarce, despite paramedics' essential role in leading on the front lines of care...
July 27, 2016: Health Care Management Review
https://www.readbyqxmd.com/read/27283436/does-clinical-supervision-of-health-professionals-improve-patient-safety-a-systematic-review-and-meta-analysis
#14
REVIEW
David A Snowdon, Raphael Hau, Sandra G Leggat, Nicholas F Taylor
PURPOSE: To determine whether clinical supervision (CS) of health professionals improves patient safety. DATA SOURCES: Databases MEDLINE, PsychINFO, CINAHL, EMBASE and AMED were searched from earliest date available. Additional studies were identified by searching of reference lists and citation tracking. STUDY SELECTION: Two reviewers independently applied inclusion and exclusion criteria. Thirty-two studies across three health professions [medicine (n = 29), nursing (n = 2) and paramedicine (n = 1)] were selected...
September 2016: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/27007957/community-paramedicine-addressing-questions-as-programs-expand
#15
Lisa I Iezzoni, Stephen C Dorner, Toyin Ajayi
Growing increasingly short of breath late one night, Ms. E. called her health care provider’s urgent care line, anticipating that the on-call nurse practitioner would have her transported to the emergency department (ED). Over the past 6 months, Ms. E. had made many ED visits. She is 83 years old..
March 24, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27000138/pharmacist-involvement-in-a-community-paramedicine-team
#16
Baely M Crockett, Karalea D Jasiak, Todd A Walroth, Kerri E Degenkolb, Andrew C Stevens, Carolyn M Jung
BACKGROUND: Hospital readmissions have recently gained scrutiny by health systems as a result of their high costs of care and potential for financial penalty in hospital reimbursement. Mobile-integrated health and community paramedicine (MIH-CP) programs have expanded to serve patients at high risk of hospital readmission. Pharmacists have also improved clinical outcomes for patients during in-home visits. However, pharmacists working with a MIH-CP program have not been previously described...
March 21, 2016: Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/26954651/community-paramedicine-and-mobile-integrated-health-care-existing-resources-bringing-new-benefits
#17
Wendy J Wilcoxson
No abstract text is available yet for this article.
March 2016: Southern Medical Journal
https://www.readbyqxmd.com/read/26946585/community-paramedicine-in-a-rural-setting-minnesota-s-approach-includes-free-clinics-and-a-mobile-unit-that-travels-the-community
#18
Michael R Wilcox
No abstract text is available yet for this article.
February 2016: EMS World
https://www.readbyqxmd.com/read/26940858/do-commencing-nursing-and-paramedicine-students-differ-in-interprofessional-learning-and-practice-attitudes-evaluating-course-socio-demographic-and-individual-personality-effects
#19
Karen T Hallam, Karen Livesay, Romana Morda, Jenny Sharples, Andi Jones, Maximilian de Courten
BACKGROUND: Interprofessional education (IPE) requires health students to learn with, from and about each other in order to develop a modern workforce with client-centred care at its core. Despite the client centred focus of IPE, training programs often utilize standard approaches across student cohorts without consideration of discipline, sociodemographic and personality variability that attract students to different health disciplines. Knowing the students who engage in IPE to tailor training may prove as beneficial as knowing the client to delivered individualized client centred care in interprofessional practice (IPP)...
March 3, 2016: BMC Medical Education
https://www.readbyqxmd.com/read/26842850/community-paramedicine-model-of-care-an-observational-ethnographic-case-study
#20
Peter O'Meara, Christine Stirling, Michel Ruest, Angela Martin
BACKGROUND: Community paramedicine programs have emerged throughout North America and beyond in response to demographic changes and health system reform. Our aim was to identify and analyse how community paramedics create and maintain new role boundaries and identities in terms of flexibility and permeability and through this develop and frame a coherent community paramedicine model of care that distinguish the model from other innovations in paramedic service delivery. METHODS: Using an observational ethnographic case study approach, we collected data through interviews, focus groups and field observations...
February 2, 2016: BMC Health Services Research
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