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Community paramedicine

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https://www.readbyqxmd.com/read/28712685/emergency-medical-services-perspectives-on-identifying-and-reporting-victims-of-elder-abuse-neglect-and-self-neglect
#1
Tony Rosen, Cynthia Lien, Michael E Stern, Elizabeth M Bloemen, Regina Mysliwiec, Thomas J McCarthy, Sunday Clark, Mary R Mulcare, Daniel S Ribaudo, Mark S Lachs, Karl Pillemer, Neal E Flomenbaum
BACKGROUND: Emergency Medical Services (EMS) providers, who perform initial assessments of ill and injured patients, often in a patient's home, are uniquely positioned to identify potential victims of elder abuse, neglect, or self-neglect. Despite this, few organized programs exist to ensure that EMS concerns are communicated to or further investigated by other health care providers, social workers, or the authorities. OBJECTIVE: To explore attitudes and self-reported practices of EMS providers surrounding identification and reporting of elder mistreatment...
July 13, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28333367/community-paramedicine-applied-in-a-rural-community
#2
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
#3
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
#4
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/27818420/what-is-the-potential-of-community-paramedicine-to-fill-rural-health-care-gaps
#5
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/27575363/providing-acute-care-at-home-community-paramedics-enhance-an-advanced-illness-management-program-preliminary-data
#6
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
#7
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/27007957/community-paramedicine-addressing-questions-as-programs-expand
#8
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
#9
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...
April 2017: Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/26954651/community-paramedicine-and-mobile-integrated-health-care-existing-resources-bringing-new-benefits
#10
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
#11
Michael R Wilcox
No abstract text is available yet for this article.
February 2016: EMS World
https://www.readbyqxmd.com/read/26842850/community-paramedicine-model-of-care-an-observational-ethnographic-case-study
#12
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
https://www.readbyqxmd.com/read/26738719/pre-hospital-emergency-medicine
#13
REVIEW
Mark H Wilson, Karel Habig, Christopher Wright, Amy Hughes, Gareth Davies, Chirstopher H E Imray
Pre-hospital care is emergency medical care given to patients before arrival in hospital after activation of emergency medical services. It traditionally incorporated a breadth of care from bystander resuscitation to statutory emergency medical services treatment and transfer. New concepts of care including community paramedicine, novel roles such as emergency care practitioners, and physician delivered pre-hospital emergency medicine are re-defining the scope of pre-hospital care. For severely ill or injured patients, acting quickly in the pre-hospital period is crucial with decisions and interventions greatly affecting outcomes...
December 19, 2015: Lancet
https://www.readbyqxmd.com/read/26692369/consumer-perspectives-of-a-community-paramedicine-program-in-rural-ontario
#14
Angela Martin, Peter O'Meara, Jane Farmer
OBJECTIVE: To evaluate a community paramedicine program in rural Ontario, Canada, through the perceptions and experiences of consumers. DESIGN: An observational ethnographic approach was used to acquire qualitative data through informal discussions, semi-structured interviews and direct observation of interactions between consumers and community paramedics. SETTING: The study was conducted in rural Ontario where a community paramedicine program has been established consisting of four components: ad hoc home visiting, ageing at home, paramedic wellness clinics and community paramedic response unit...
August 2016: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/26685629/the-international-roots-of-community-paramedicine-what-we-can-learn-from-programs-in-australia-and-canada
#15
Gary Wingrove, Peter O'Meara, Michael Nolan
No abstract text is available yet for this article.
November 2015: EMS World
https://www.readbyqxmd.com/read/26590753/medical-direction-of-mobile-integrated-health-care-and-community-paramedicine-programs-policy-statement
#16
EDITORIAL
(no author information available yet)
No abstract text is available yet for this article.
December 2015: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/26554214/how-to-conduct-the-patient-interview-communicating-successfully-with-patients-requires-strategy-flexibility-and-practice
#17
Mike Rubin
As community paramedicine and other nonemergent initiatives become commonplace in EMS, caregivers are going to need communication skills that go beyond SAMPLE checklists. A minimalist approach to dialogue with patients, considered preferred if not essential in what was once almost exclusively a light-and-sirens environment, isn't acceptable when prehospital interventions require a thorough understanding not only of chief complaints, but also how the physical part of illness and injury is framed by the patient's environment...
October 2015: EMS World
https://www.readbyqxmd.com/read/26299138/community-paramedicine
#18
Brenda Staffan
No abstract text is available yet for this article.
May 2015: JEMS: a Journal of Emergency Medical Services
https://www.readbyqxmd.com/read/26214973/managing-patient-centric-care-montgomery-county-texas-community-paramedicine-program-sees-early-success
#19
Morgan M Clark, Guy R Gleisberg, Andrew R Karrer, Mark E A Escott
No abstract text is available yet for this article.
April 2015: JEMS: a Journal of Emergency Medical Services
https://www.readbyqxmd.com/read/26169927/mobile-integrated-health-care-and-community-paramedicine-an-emerging-emergency-medical-services-concept
#20
Bryan Y Choi, Charles Blumberg, Kenneth Williams
Mobile integrated health care and community paramedicine are models of health care delivery that use emergency medical services (EMS) personnel to fill gaps in local health care infrastructure. Community paramedics may perform in an expanded role and require additional training in the management of chronic disease, communication skills, and cultural sensitivity, whereas other models use all levels of EMS personnel without additional training. Currently, there are few studies of the efficacy, safety, and cost-effectiveness of mobile integrated health care and community paramedicine programs...
March 2016: Annals of Emergency Medicine
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