Contribution of paramedics in primary and urgent care: a systematic review.
allied health personnel
ambulatory care
extended roles
paramedics
primary care
urgent care
Journal
The British journal of general practice : the journal of the Royal College of General Practitioners
ISSN: 1478-5242
Titre abrégé: Br J Gen Pract
Pays: England
ID NLM: 9005323
Informations de publication
Date de publication:
Jun 2020
Jun 2020
Historique:
received:
07
10
2019
accepted:
05
12
2019
pubmed:
20
5
2020
medline:
25
6
2021
entrez:
20
5
2020
Statut:
epublish
Résumé
Within the UK, there are now opportunities for paramedics to work across a variety of healthcare settings away from their traditional ambulance service employer, with many opting to move into primary care. To provide an overview of the types of clinical roles paramedics are undertaking in primary and urgent care settings within the UK. A systematic review. Searches were conducted of MEDLINE, CINAHL, Embase, the National Institute for Health and Care Excellence, the In total, 6765 references were screened by title and/or abstract. After full-text review, 24 studies were included. Key findings focused on the description of the clinical role, the clinical work environment, the contribution of paramedics to the primary care workforce, the clinical activities they undertook, patient satisfaction, and education and training for paramedics moving from the ambulance service into primary care. Current published research identifies that the role of the paramedic working in primary and urgent care is being advocated and implemented across the UK; however, there is insufficient detail regarding the clinical contribution of paramedics in these clinical settings. More research needs to be done to determine how, why, and in what context paramedics are now working in primary and urgent care, and what their overall contribution is to the primary care workforce.
Sections du résumé
BACKGROUND
BACKGROUND
Within the UK, there are now opportunities for paramedics to work across a variety of healthcare settings away from their traditional ambulance service employer, with many opting to move into primary care.
AIM
OBJECTIVE
To provide an overview of the types of clinical roles paramedics are undertaking in primary and urgent care settings within the UK.
DESIGN AND SETTING
METHODS
A systematic review.
METHOD
METHODS
Searches were conducted of MEDLINE, CINAHL, Embase, the National Institute for Health and Care Excellence, the
RESULTS
RESULTS
In total, 6765 references were screened by title and/or abstract. After full-text review, 24 studies were included. Key findings focused on the description of the clinical role, the clinical work environment, the contribution of paramedics to the primary care workforce, the clinical activities they undertook, patient satisfaction, and education and training for paramedics moving from the ambulance service into primary care.
CONCLUSION
CONCLUSIONS
Current published research identifies that the role of the paramedic working in primary and urgent care is being advocated and implemented across the UK; however, there is insufficient detail regarding the clinical contribution of paramedics in these clinical settings. More research needs to be done to determine how, why, and in what context paramedics are now working in primary and urgent care, and what their overall contribution is to the primary care workforce.
Identifiants
pubmed: 32424047
pii: bjgp20X709877
doi: 10.3399/bjgp20X709877
pmc: PMC7239041
doi:
Types de publication
Journal Article
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
e421-e426Subventions
Organisme : Department of Health
ID : NIHR300681
Pays : United Kingdom
Informations de copyright
©The Authors.
Références
BMC Emerg Med. 2007 Jun 15;7:4
pubmed: 17573959
Emerg Med J. 2014 Oct;31(10):853-60
pubmed: 23851036
J R Soc Med. 2018 Jun;111(6):195-198
pubmed: 29672202
Emerg Med J. 2005 Dec;22(12):896-900
pubmed: 16299210
Emerg Med J. 2004 May;21(3):273-4
pubmed: 15107361
BMC Med. 2015 Jun 01;13:127
pubmed: 26032941
Int Emerg Nurs. 2015 Apr;23(2):120-6
pubmed: 25153731
BMJ Open. 2018 Nov 13;8(11):e024876
pubmed: 30429150
Emerg Med J. 2006 Jun;23(6):435-9
pubmed: 16714501
Ann Intern Med. 2018 Oct 2;169(7):467-473
pubmed: 30178033
Emerg Med J. 2014 Jul;31(7):594-603
pubmed: 23576227
Br J Gen Pract. 2017 Jul;67(660):314
pubmed: 28663423
J Health Serv Res Policy. 2018 Jul;23(3):193-195
pubmed: 29683358
Educ Prim Care. 2018 Nov;29(6):376-380
pubmed: 30239273