Community paramedicine—cost–benefit analysis and safety with paramedical emergency services in rural areas: scoping review protocol

Introduction Community paramedicine models have been developed around the world in response to demographic changes, healthcare system needs and reforms. The traditional role of the paramedic has primarily been to provide emergency medical response and transportation of patients to nearby medical fac...

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Main Authors: Hege Selnes Haugdahl, Marianne Lysne, Odd Eirik Elden, Oddvar Uleberg
Format: Article
Language:English
Published: BMJ Publishing Group 2020-09-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/10/9/e038651.full
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author Hege Selnes Haugdahl
Marianne Lysne
Odd Eirik Elden
Oddvar Uleberg
author_facet Hege Selnes Haugdahl
Marianne Lysne
Odd Eirik Elden
Oddvar Uleberg
author_sort Hege Selnes Haugdahl
collection DOAJ
description Introduction Community paramedicine models have been developed around the world in response to demographic changes, healthcare system needs and reforms. The traditional role of the paramedic has primarily been to provide emergency medical response and transportation of patients to nearby medical facilities. As a response to healthcare service gaps in underserved communities and the growing professionalisation of the workforce, the role of community paramedicine has evolved as a new model of care. A community paramedicine model in one region might address other healthcare needs than a model in another region. Various terms are also in use for community paramedicine providers, with no consensus on the definition for community paramedics, although the definition used by the International Roundtable on Community Paramedicine has been widely accepted. We aimed to examine the current knowledge and possibly identify gaps in the research/knowledge base for cost–benefit analysis and safety concerning community paramedicine in rural areas using a scoping review methodology.Methods and analysis This scoping review will follow the methodology developed by Arksey and O’Malley and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. In October 2020, we will search electronic databases (MEDLINE via PubMed, CINAHL, Cochrane and Embase) and the reference lists of key studies to identify studies for inclusion. The selection process is in two steps. First, two reviewers will independently screen identified articles for title and abstracts and, second, perform a full-text review of eligible studies for inclusion. Studies focusing on community paramedicine in rural areas, which include cost–benefit analysis or safety evaluation, will be included.Ethics and dissemination The data used are available from publicly secondary sources, therefore this study will not require ethical review. The results will be disseminated through peer-reviewed publication.
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spelling doaj-art-e20e26458f07415692b0d53d4336e1b42025-01-09T04:55:08ZengBMJ Publishing GroupBMJ Open2044-60552020-09-0110910.1136/bmjopen-2020-038651Community paramedicine—cost–benefit analysis and safety with paramedical emergency services in rural areas: scoping review protocolHege Selnes Haugdahl0Marianne Lysne1Odd Eirik Elden2Oddvar Uleberg3Levanger Hospital, Nord-Trondelag Hospital Trust, Levanger, NorwayLevanger Hospital, Nord-Trondelag Hospital Trust, Levanger, NorwayDepartment of Pre-Hospital Services, Nord-Trondelag Hospital Trust, Levanger, NorwayDepartment of Emergency Medicine and Pre-Hospital Services, St Olavs University Hospital, Trondheim, NorwayIntroduction Community paramedicine models have been developed around the world in response to demographic changes, healthcare system needs and reforms. The traditional role of the paramedic has primarily been to provide emergency medical response and transportation of patients to nearby medical facilities. As a response to healthcare service gaps in underserved communities and the growing professionalisation of the workforce, the role of community paramedicine has evolved as a new model of care. A community paramedicine model in one region might address other healthcare needs than a model in another region. Various terms are also in use for community paramedicine providers, with no consensus on the definition for community paramedics, although the definition used by the International Roundtable on Community Paramedicine has been widely accepted. We aimed to examine the current knowledge and possibly identify gaps in the research/knowledge base for cost–benefit analysis and safety concerning community paramedicine in rural areas using a scoping review methodology.Methods and analysis This scoping review will follow the methodology developed by Arksey and O’Malley and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. In October 2020, we will search electronic databases (MEDLINE via PubMed, CINAHL, Cochrane and Embase) and the reference lists of key studies to identify studies for inclusion. The selection process is in two steps. First, two reviewers will independently screen identified articles for title and abstracts and, second, perform a full-text review of eligible studies for inclusion. Studies focusing on community paramedicine in rural areas, which include cost–benefit analysis or safety evaluation, will be included.Ethics and dissemination The data used are available from publicly secondary sources, therefore this study will not require ethical review. The results will be disseminated through peer-reviewed publication.https://bmjopen.bmj.com/content/10/9/e038651.full
spellingShingle Hege Selnes Haugdahl
Marianne Lysne
Odd Eirik Elden
Oddvar Uleberg
Community paramedicine—cost–benefit analysis and safety with paramedical emergency services in rural areas: scoping review protocol
BMJ Open
title Community paramedicine—cost–benefit analysis and safety with paramedical emergency services in rural areas: scoping review protocol
title_full Community paramedicine—cost–benefit analysis and safety with paramedical emergency services in rural areas: scoping review protocol
title_fullStr Community paramedicine—cost–benefit analysis and safety with paramedical emergency services in rural areas: scoping review protocol
title_full_unstemmed Community paramedicine—cost–benefit analysis and safety with paramedical emergency services in rural areas: scoping review protocol
title_short Community paramedicine—cost–benefit analysis and safety with paramedical emergency services in rural areas: scoping review protocol
title_sort community paramedicine cost benefit analysis and safety with paramedical emergency services in rural areas scoping review protocol
url https://bmjopen.bmj.com/content/10/9/e038651.full
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AT oddeirikelden communityparamedicinecostbenefitanalysisandsafetywithparamedicalemergencyservicesinruralareasscopingreviewprotocol
AT oddvaruleberg communityparamedicinecostbenefitanalysisandsafetywithparamedicalemergencyservicesinruralareasscopingreviewprotocol