Exploring how paramedics are deployed in general practice and the perceived benefits and drawbacks: a mixed-methods scoping study.

allied health personnel general practitioners health workforce paramedic primary health care

Journal

BJGP open
ISSN: 2398-3795
Titre abrégé: BJGP Open
Pays: England
ID NLM: 101713531

Informations de publication

Date de publication:
2020
Historique:
received: 05 11 2019
accepted: 09 12 2019
pubmed: 14 5 2020
medline: 14 5 2020
entrez: 14 5 2020
Statut: epublish

Résumé

General practice in the UK faces continuing challenges to balance a workforce shortage against rising demand. The NHS England To understand how paramedics are deployed in general practice, and to investigate the theories and drivers that underpin this service development. A mixed-methods study using a literature review, national survey, and qualitative interviews. A three-phase study was undertaken that consisted of: a literature review and survey; meetings with key informants (KIs); and direct enquiry with relevant staff stakeholders (SHs). There is very little evidence on the safety and cost-effectiveness of paramedics working in general practice and significant variation in the ways that paramedics are deployed, particularly in terms of the patients seen and conditions treated. Nonetheless, there is a largely positive view of this development and a perceived reduction in GP workload. However, some concerns centre on the time needed from GPs to train and supervise paramedic staff. The contribution of paramedics in general practice has not been fully evaluated. There is a need for research that takes account of the substantial variation between service models to fully understand the benefits and consequences for patients, the workforce, and the NHS.

Sections du résumé

BACKGROUND BACKGROUND
General practice in the UK faces continuing challenges to balance a workforce shortage against rising demand. The NHS England
AIM OBJECTIVE
To understand how paramedics are deployed in general practice, and to investigate the theories and drivers that underpin this service development.
DESIGN & SETTING METHODS
A mixed-methods study using a literature review, national survey, and qualitative interviews.
METHOD METHODS
A three-phase study was undertaken that consisted of: a literature review and survey; meetings with key informants (KIs); and direct enquiry with relevant staff stakeholders (SHs).
RESULTS RESULTS
There is very little evidence on the safety and cost-effectiveness of paramedics working in general practice and significant variation in the ways that paramedics are deployed, particularly in terms of the patients seen and conditions treated. Nonetheless, there is a largely positive view of this development and a perceived reduction in GP workload. However, some concerns centre on the time needed from GPs to train and supervise paramedic staff.
CONCLUSION CONCLUSIONS
The contribution of paramedics in general practice has not been fully evaluated. There is a need for research that takes account of the substantial variation between service models to fully understand the benefits and consequences for patients, the workforce, and the NHS.

Identifiants

pubmed: 32398344
pii: bjgpopen20X101037
doi: 10.3399/bjgpopen20X101037
pmc: PMC7330225
pii:
doi:

Types de publication

Journal Article

Langues

eng

Informations de copyright

Copyright © 2020, The Authors.

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Auteurs

Behnaz Schofield (B)

University of the West of England UWE Bristol, Bristol, UK.

Sarah Voss (S)

University of the West of England UWE Bristol, Bristol, UK sarah.voss@uwe.ac.uk.

Alyesha Proctor (A)

University of the West of England UWE Bristol, Bristol, UK.

Jonathan Benger (J)

University of the West of England UWE Bristol, Bristol, UK.
University Hospitals Bristol NHS Foundation Trust, Bristol, UK.

David Coates (D)

BrisDoc Healthcare Services, Bristol, UK.

Kim Kirby (K)

South Western Ambulance Service NHS Foundation Trust, Exeter, UK.

Sarah Purdy (S)

Bristol Medical School, University of Bristol, Bristol, UK.

Matthew Booker (M)

Bristol Medical School, University of Bristol, Bristol, UK.

Classifications MeSH