Community paramedicine: cost–benefit analysis and safety evaluation in paramedical emergency services in rural areas – a scoping review

Objective To examine the current knowledge and possibly identify gaps in the knowledge base for cost–benefit analysis and safety concerning community paramedicine in rural areas.Design Scoping review.Data sources MEDLINE via PubMed, CINAHL, Cochrane and Embase up to December 2020.Study selection All...

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Main Authors: Hege Selnes Haugdahl, Marianne Lysne, Odd Eirik Elden, Oddvar Uleberg
Format: Article
Language:English
Published: BMJ Publishing Group 2022-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/6/e057752.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 Objective To examine the current knowledge and possibly identify gaps in the knowledge base for cost–benefit analysis and safety concerning community paramedicine in rural areas.Design Scoping review.Data sources MEDLINE via PubMed, CINAHL, Cochrane and Embase up to December 2020.Study selection All English studies involving community paramedicine in rural areas, which include cost–benefit analysis or safety evaluation.Data extraction This scoping review follows the methodology developed by Arksey and O’Malley and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. We systematically searched for all types of studies in the databases and the reference lists of key studies to identify studies for inclusion. The selection process was in two steps. First, two reviewers independently screened 2309 identified articles for title and abstracts and second performed a full-text review of 24 eligible studies for inclusion.Results Three articles met the inclusion criteria concerning cost–benefit analysis, two from Canada and one from USA. No articles met the inclusion criteria for safety evaluation.Conclusion There are knowledge gaps concerning safety evaluation of community paramedicine in rural areas. Three articles were included in this scoping review concerning cost–benefit analysis, two of them showing positive cost-effectiveness with community paramedicine in rural areas.
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spelling doaj-art-ff5e285b29f44b028caa7339ea2c9fd02025-01-24T02:20:09ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-057752Community paramedicine: cost–benefit analysis and safety evaluation in paramedical emergency services in rural areas – a scoping reviewHege Selnes Haugdahl0Marianne Lysne1Odd Eirik Elden2Oddvar Uleberg3Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, NorwayLevanger Hospital, Nord-Trondelag Hospital Trust, Levanger, NorwayLevanger Hospital, Nord-Trondelag Hospital Trust, Levanger, NorwayDepartment of Emergency Medicine and Pre-Hospital Services, St Olavs University Hospital, Trondheim, NorwayObjective To examine the current knowledge and possibly identify gaps in the knowledge base for cost–benefit analysis and safety concerning community paramedicine in rural areas.Design Scoping review.Data sources MEDLINE via PubMed, CINAHL, Cochrane and Embase up to December 2020.Study selection All English studies involving community paramedicine in rural areas, which include cost–benefit analysis or safety evaluation.Data extraction This scoping review follows the methodology developed by Arksey and O’Malley and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. We systematically searched for all types of studies in the databases and the reference lists of key studies to identify studies for inclusion. The selection process was in two steps. First, two reviewers independently screened 2309 identified articles for title and abstracts and second performed a full-text review of 24 eligible studies for inclusion.Results Three articles met the inclusion criteria concerning cost–benefit analysis, two from Canada and one from USA. No articles met the inclusion criteria for safety evaluation.Conclusion There are knowledge gaps concerning safety evaluation of community paramedicine in rural areas. Three articles were included in this scoping review concerning cost–benefit analysis, two of them showing positive cost-effectiveness with community paramedicine in rural areas.https://bmjopen.bmj.com/content/12/6/e057752.full
spellingShingle Hege Selnes Haugdahl
Marianne Lysne
Odd Eirik Elden
Oddvar Uleberg
Community paramedicine: cost–benefit analysis and safety evaluation in paramedical emergency services in rural areas – a scoping review
BMJ Open
title Community paramedicine: cost–benefit analysis and safety evaluation in paramedical emergency services in rural areas – a scoping review
title_full Community paramedicine: cost–benefit analysis and safety evaluation in paramedical emergency services in rural areas – a scoping review
title_fullStr Community paramedicine: cost–benefit analysis and safety evaluation in paramedical emergency services in rural areas – a scoping review
title_full_unstemmed Community paramedicine: cost–benefit analysis and safety evaluation in paramedical emergency services in rural areas – a scoping review
title_short Community paramedicine: cost–benefit analysis and safety evaluation in paramedical emergency services in rural areas – a scoping review
title_sort community paramedicine cost benefit analysis and safety evaluation in paramedical emergency services in rural areas a scoping review
url https://bmjopen.bmj.com/content/12/6/e057752.full
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